Paediatric caudal extradural catheterisation: an evaluation of a purpose designed equipment set.
Using a purpose designed set of equipment, the Caudal Extradural Catheter Tray, Oxford Set (B Braun Medical Ltd, Sheffield, UK) we have evaluated the ease of cannulation of the caudal space, and the subsequent success in threading extradural catheters and obtaining satisfactory analgesia via the caudal route. The set was evaluated in 91 children (age range: 1 day to 10 years). Cannulation of the caudal space was achieved in all patients, and catheterisation of the extradural space was successful in 96.7% of patients. Postoperative analgesia was satisfactory in 95% of children who had continuous extradural analgesia. There were no major complications or neurological sequelae associated with using the set. We found the Caudal Extradural Catheter Tray provides the necessary equipment to perform extradural anaesthesia and analgesia safely and successfully in children of a wide age range.
Department of Anaesthetics, Queens Medical Centre, University Hospital NHS Trust, Nottingham, NG7 2UH, UK.
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N
Bhandal
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R
Rogers
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S
Berg
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DG
Mason
D017677:Age Distribution; D000367:Age Factors; D015360:Analgesia, Epidural / Q000295:instrumentation* / Q000379:methods; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010149:Postoperative Pain / Q000628:therapy*; D011446:Prospective Studies