Abstract：
Awake combined spinal caudal anesthesia has been used as an anesthetic technique for longer-duration infraumbilical surgeries in infants. Literature on the safety and feasibility of this technique is limited. We share our experience with 27 infants undergoing longer-duration urologic surgery using awake combined spinal and caudal anesthesia without the use of systemic sedatives or inhalational agents. We describe our technique, safety considerations, and details surrounding the optimal timing of caudal catheter activation for prolongation of surgical anesthesia.
摘要：
Awake联合脊髓尾麻醉已被用作婴儿长时间脐下手术的麻醉技术。关于该技术的安全性和可行性的文献是有限的。我们与27例接受长时间泌尿外科手术的婴儿分享了我们的经验，这些婴儿使用清醒的脊柱和尾部联合麻醉，而不使用全身镇静剂或吸入剂。我们描述了我们的技术，安全考虑,以及围绕尾导管激活以延长手术麻醉的最佳时机的细节。
