PDF(Pubmed)
Abstract：
Caudal epidural blockade is one of the most frequently administered regional anesthesia techniques in children. It is a supplement during general anesthesia and for providing postoperative analgesia in pediatrics for sub-umbilical surgeries, especially for genitourinary surgeries. However, the duration of the analgesic effect is occasionally unsatisfactory. In this review, we discuss the main advantages and disadvantages of different techniques to prolong postoperative analgesia for single-injection caudal blockade in children. A literature search of the keywords \"caudal\", \"analgesia\", \"pediatric\", and \"children\" was performed using PubMed and Web of Science databases. We highlight that analgesic quality correlates substantially with the local anesthetic\'s type, dose, the timing relationship between caudal block and surgery, caudal catheterization, and administration of epidural opioids or other adjuvant drugs.
摘要：
硬膜外硬膜外阻滞是儿童最常用的区域麻醉技术之一。它是全身麻醉期间的补充，并在儿科脐下手术中提供术后镇痛，尤其是泌尿生殖系统的手术.然而,镇痛效果的持续时间有时不令人满意。在这次审查中,我们讨论了不同技术延长儿童单次注射骶管阻滞术后镇痛的主要优点和缺点。关键词\"尾\"的文献检索,\"镇痛\",“儿科”，和“儿童”是使用PubMed和WebofScience数据库进行的。我们强调，镇痛质量与局部麻醉药的类型密切相关，剂量,骶管阻滞与手术的时间关系,尾部导管插入术,以及硬膜外阿片类药物或其他辅助药物的给药。
