Volume : VII, Issue : I, January - 2018

EFFICACY OF CAUDAL ANAESTHESIA USING NERVE STIMULATOR IN PAEDIATRIC PATIENTS

Dr. Greeshma Tm, Dr. Rammurthy K

Abstract :

 

INTRODUCTION – Caudal anaesthesia is most commonly performed regional anaesthetic technique in paediatrics patients. Although simple to learn and perform, the success rate of the block may be variable. So the aim of the study is to know the success rate of caudal anaesthesia using nerve stimulator in pediatric patients.

METHODS – A total of forty two cases were involved in our study out of which only forty patients received caudal anaesthesia. After inducing general anaesthesia, Caudal anaesthesia was given using a 5cm stimuplex^® needle. After pop off was felt in caudal space nerve stimulator was connected and positive or negative response is noted. postoperative pain was assessed by CHEOPS score.

RESULTS – Among forty patients the test showed the sensitivity and specificity of nerve stimulator to predict caudal anaesthesia was 94.44% and 75% respectively. Test showed positive predictive value of 97% and negative predictive value of 60%. Even though pop was felt and local anaesthetic was injected without resistance/ subcutaneous bulge in all forty patients, only thirty six of the patients developed good postoperative analgesia as assessed by CHEOPS scoring. Remaining patients were maintained with opioids and NSAIDs.

CONCLUSION– Caudal anaesthesia using nerve stimulator has got good success rate and can be used in adjunct to pop off technique with high sensitivity and specificity values. Nerve stimulator is a good predictor of needle placement in caudal space

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR. GREESHMA TM, DR.RAMMURTHY K , EFFICACY OF CAUDAL ANAESTHESIA USING NERVE STIMULATOR IN PAEDIATRIC PATIENTS, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-1 | January-2018

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