Occurrence of Total Spinal Anesthesia after Caudal Anesthesia in a Newborn Patient: A Case Report of a Challenging Complication
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Abstract
A 2-month and 13-day-old boy underwent surgery for a right inguinal hernia. During the procedure, a caudal block was performed using 4 mL of 0.25% bupivacaine injected with an epinephrine-soaked syringe. Before the injection, we confirmed that there was no blood or cerebrospinal fluid present. However, shortly after the injection, the patient experienced respiratory apnea and a slow heart rate. The medical team provided respiratory and cardiac support and closely monitored the patient. After a day and a half, the patient was discharged with no further complications.
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[6] Wiegele M, Marhofer P, Lönnqvist P-A. Caudal epidural blocks in paediatric patients: a review and practical considerations. British journal of anaesthesia. 2019; 122(4):509-17.
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[8] Dave NM, Garasia M. A comparison of the effectiveness of predictors of caudal block in children-swoosh test, anal sphincter tone, and heart rate response. J Anaesthesiol Clin Pharmacol. 2012; 28(1):17-20.
[2] Pardo M. Miller's principles of anesthesia. 8, editor2023. 310 p.
[3] Gropper MA. Miller's Anesthesia, 2-Volume. Edition St, editor: Elsevier; 2020. 2453 p.
[4] Cyna AM, Middleton P. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database Syst Rev. 2008; 2008(4):CD003005.
[5] Gropper MA. Miller's Anesthesia, 2-Volume Edition St, editor: Elsevier; 2020. Ch.76/p. 2384, p.
[6] Wiegele M, Marhofer P, Lönnqvist P-A. Caudal epidural blocks in paediatric patients: a review and practical considerations. British journal of anaesthesia. 2019; 122(4):509-17.
[7] Zhu Y, Xiao T, Zhang S, Chen Z, Du Z, Qu S, et al. Application of wireless ultrasound for guided caudal anesthesia in children undergoing concealed penis surgery. Biotechnol Genet Eng Rev. 2023:1-10.
[8] Dave NM, Garasia M. A comparison of the effectiveness of predictors of caudal block in children-swoosh test, anal sphincter tone, and heart rate response. J Anaesthesiol Clin Pharmacol. 2012; 28(1):17-20.
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| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| Caudal anesthesia caudal block Total spinal anesthesia inguinal hernia surgery | ||
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How to Cite
1.
Babajani A, Feizollahzadeh N, Koohsoltani H. Occurrence of Total Spinal Anesthesia after Caudal Anesthesia in a Newborn Patient: A Case Report of a Challenging Complication. Arch Anesth & Crit Care. 2024;.
