Giaufré E
Service de Chirurgie pédiatrique, Fondation Hôpital Saint-Joseph, Marseille.
Cah Anesthesiol. 1995;43(3):281-6.
Caudal block is the most frequently epidural block performed in children. A better knowledge of the child anatomy, physiology and pharmacokinetics has increased the safety of regional anaesthesia in children. The technique of puncture has been adapted to the child anatomy and special needles fit for children are now manufactured. The children, as well as adult, have benefited of new drugs (opioids, alpha 2 agonists) which increase the indications regarding time duration or pain intensity. If complications are still possible the respect of safety rules and the use of adapted equipment make caudal block a safe regional anaesthesia.
骶管阻滞是儿童最常施行的硬膜外阻滞。对儿童解剖学、生理学和药代动力学的深入了解提高了儿童区域麻醉的安全性。穿刺技术已根据儿童解剖结构进行了调整,现在也生产出了适合儿童的特殊针具。儿童和成人一样受益于新药物(阿片类药物、α2激动剂),这些药物增加了在作用时长或疼痛强度方面的适应证。尽管仍有可能出现并发症,但遵守安全规则并使用合适的设备使得骶管阻滞成为一种安全的区域麻醉方法。