title: Transient abdominal wall deformity in an infant Blaming the caudal?
abstract: Locoregional anesthesia is an important aspect of perioperative analgesia. It decreases requirements for anesthetic agents and opioids, decreases the surgical stress response, and provides postoperative analgesia. Nonetheless, pediatric patients, especially infants, demonstrate specificities towards regional anesthesia techniques, as an increased sensitivity to local anesthetics (LA) and a higher ease of LA spread especially when using blocks that rely on the volume of LA and its spread as those used for abdominal wall analgesia or caudal. Thus, we present a case of transient abdominal wall deformity following caudal anesthesia in an infant.
authors.affiliation: Department of Paediatric Anaesthesia, The Montreal Children's Hospital, McGill University, Montreal, QC, Canada.
authors.forename: Sylvain
authors.initials: S
authors.lastname: Tosetti
authors.forename: Chantal
authors.initials: C
authors.lastname: Frigon
mesh_terms: D034861:Abdominal Wall / Q000002:abnormalities*; D000014:Abnormalities, Drug-Induced / Q000473:pathology*; D000763:Anesthesia, Caudal / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects; D006627:Hirschsprung Disease / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000473:pathology
chemical_list: D000779:Anesthetics, Local
keywords: adverse events; complications; infant; local anesthetics; quality improvement; regional