[Caudal block in the surgical repair of vesico-renal reflux].
One hundred and twenty children have benefited from surgical cure for vesico-renal reflux under loco-regional anesthesia per caudal way, with use of a mixed solution of Lidocaine 1%, Bupivacaine 0.5%, with Adrenaline, along with a complementary narcosis. During the per operative time: the subsequent analgesia and muscular relief have always been excellent and lasted long enough. The hemodynamic status always showed a perfect stability. As to the ventilation, no deleterious effect could be demonstrated. Per operative blooding is reduced and central temperature is more easily controlled. During the post-operative time: the caudal anesthesia has allowed to maintain an efficient analgesia during a mean period of 12 hours which has been considered as sufficient. All the children went quickly back to a normal digestive function. There was no complication relevant to this technique.
Chauvet
P
P
Département d'anesthésie-réanimation, Centre hospitalier régional, Reims.
Lefeuvre
M
M
Chemla
C
C
Guyot
E
E
Guillet
H
H
Rendoing
J
J
D000763:Anesthesia, Caudal; D000767:Anesthesia, Epidural; D001831:Body Temperature; D002648:Child; D002675:Child, Preschool; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007902:Length of Stay; D008297:Male; D008991:Monitoring, Physiologic; D011184:Postoperative Period; D012119:Respiration; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
Intérêt de l'anesthésie caudale dans la cure chirurgicale du reflux vésico-rénal.