This is particularly the case if you've struck bone on first pass.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Actual dose = 0.5 mcg/kg
0.1 ml 1:1000 Adrenaline (100 mcg)
Place in 20 ml 0.2% Rop or 0.25% Levobupivacaine to make a 5 mcg/ml dilution
Take the standard dose of 1 ml/ kg for caudal
Inject 1 ml - wait for 30 sec looking for inc HR > 10 bpm
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
- 0.5ml/kg 0.25% bupivicaine for sacrolumbar surgery
- 1ml/kg for a thoraco-lumbar block, and
- 1.25 ml/kg for a mid thoracic block.
He recommended the use of 0.25% bupivacaine for the block up to a maximum of 20 ml.
Armitage EN. Caudal block in children.
Anaesthesia 1979; 34: 396.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
www.nysora.com/regional_a...
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Failure of fusion of S5 \- S4 creates the sacral hiatus
Sacral cornua are the unfused transverse processes of S5
Epidural fat is less dense in younger children allowing predictable spread of LA & advancement of caudal catheter
0.25% Levobupivacaine (or 0.2 % Ropivacaine)
0.5 ml/kg -> Sacral
1 ml/kg -> T10 (most commonly used dose)
1.25 ml/kg -> T4 (0.19 % L-Bup)
Or 1 ml/kg 0.2% Rop
Left lateral position if Right handed
23 G hypodermic needle
Midway between sacral Cornu
Advance until pop is felt & then a further 1 mm
Leave needle open to air
Give test dose of 1 ml of solution
Easy injection expected
Observe ECG
Always perform with ECG on
Observe for peaking T-wave > 25% baseline
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only
Sterile technique with mask and sterile gloves.
Prep with chlorhexidine alcohol solution.
23g syringe needle through the sacrocoxygeal membrane.
Armitage rule using 0.25% bupivicaine.
Ensure clear view of area above the injection to observe for evidence of subcutaneous injection.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Private
only
only