Prolonged unconsciousness after applying caudal anaesthesia Prolongierte Bewusstlosigkeit nach Anlage einer Kaudalanästhesie
Schulte E, Koch S, Schröder JT, Tietze A, Binscheck-Domass T, Kramer S, Rothe K, Francis RCE (2018)
Publication Type: Journal article
Publication year: 2018
Journal
Book Volume: 59
Pages Range: 654-660
Journal Issue: 11
Abstract
The application of caudal anaesthesia to the child is a commonly performed and a low-risk procedure in postoperative pain therapy. In the presence of anatomical variants such as a deepending dural sac, a sacral meningocele or a sacral meningeal cyst, however, the intrathecal application of the local anaesthetic and thus high spinal anaesthesia may occur. A negative aspiration test does not protect against this complication. Sonographic evaluation of the local anatomy and puncture site with ultrasound-guided needle insertion may increase the safety and efficacy of caudal anaesthesia. However, the specificity of sonography to detect sacral anatomical variants is limited. Other causes of prolonged unconsciousness after caudal anesthesia, e.g. metabolic causes, intoxication with local anaesthetics or cerebral pathologies are discussed.
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Germany (DE)How to cite
APA:
Schulte, E., Koch, S., Schröder, J.T., Tietze, A., Binscheck-Domass, T., Kramer, S.,... Francis, R.C.E. (2018). Prolonged unconsciousness after applying caudal anaesthesia Prolongierte Bewusstlosigkeit nach Anlage einer Kaudalanästhesie. Anästhesiologie & Intensivmedizin, 59(11), 654-660.
MLA:
Schulte, E., et al. "Prolonged unconsciousness after applying caudal anaesthesia Prolongierte Bewusstlosigkeit nach Anlage einer Kaudalanästhesie." Anästhesiologie & Intensivmedizin 59.11 (2018): 654-660.
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