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BMJ Case Rep. 2017 May 27;2017. pii: bcr-2016-218500. doi: 10.1136/bcr-2016-218500.

Awake caudal anaesthesia in neonates/young infants for improved patient safety.

Author information

1
Anaesthesiology, Singapore General Hospital, Singapore, Singapore.
2
Anaesthesiology, Tan Tock Seng Hospital, Singapore, Singapore.
3
Paediatric Anaesthesiology, KK Women's and Children's Hospital, Singapore, Singapore.

Abstract

Caudal epidural block in a conscious infant is a recognised technique that allows the avoidance of general anaesthesia and risks associated with it. It is also technically easier to perform reliably compared with an awake subarachnoid block in skilled hands.1 While local anaesthetic systemic toxicity is a rare complication of caudal anaesthesia, this case illustrates the potential for caudal anaesthesia done awake in enhancing patient safety through early recognition of local anaesthetic systemic toxicity.

KEYWORDS:

Anaesthesia; Medical education; Paediatrics; Safety

PMID:
28551594
DOI:
10.1136/bcr-2016-218500

Conflict of interest statement

Competing interests: None declared.

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