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Caudal epidural block for perineal and abdominal surgeries a review

Author: 
Dr. Chandra Deo Ram and Dr. Piyush Kumar Sengar
Subject Area: 
Health Sciences
Abstract: 

Background: The patients who were in need of perineal and abdominal surgery were selected for this present study. Objective: Pain relief to patients who were to undergo abdominal and perineal surgeries. Methods: A Review was performed on 32 perineal and 18 abdominal surgeries. Haemodyanamic, duration of anaesthesia, sensory and motor block was observed. Results: 87.5 per cent of the perineal cases developed analgesia in 5 to 6 minutes while patients requiring abdominal surgery took 15 to 21 minutes to develop analgesia. The systolic blood pressure remained above 100 mm Hg in 96.9 per cent of patients requiring perineal sugery while in 77.8 per cent of the abdominal cases systolic blood pressure remained. Complete an aesthesia developed in 90.6 per cent of patients of perineal series while 55.6 per cent patients of abdominal surgery. Complete muscular relaxation was obtained in 90.6 per cent of the perineal cases and 55.5 per cent patients of abdominal series. Conclusion: The present series concludes that caudal epidural block in an easy procedure and safe for operative procedure on limbs and perineal operations like fistula, piles, posterior colporrhaphy, normal painless deliveries, and etc. but as far as abdominal surgery is concerned, lower abdominal cases can be taken up for this procedure provided the cannula is already in the sacral apace. Upper abdminal surgery is not tried looking to the face that it requires larger does which may be toxic and fatal to the patients.

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