Study of Success rates and complications of awake caudal anesthesia in neonates and infants during last ten years in Tabriz Children Hospital

Abstract

The aim of this study was to evaluate the ten-year success rate and complications of caudal block in awake preterm infants and toddlers in Tabriz Children. Materials and Methods: During the years 2010 to 2020 in Tabriz Children's Hospital, the records of infants and toddlers in lower abdominal surgeries using regional caudal anesthesia were reviewed. Required information including date of surgery, age, sex, weight, Type of surgery, duration of surgery, success rate of the block, name of the person performing the block, time of feeding start after surgery, type and amount of intravenous drugs required during surgery, and amount of apnea and other complications were recorded. In this study, the efficiency of regional caudal blocks in neonates and premature infants without anesthesia was measured using the studied variables. Results: Data on infants and toddlers were extracted in the last 10 years. Finally, 1994 cases were included in the stud that the success rate of awake caudal anesthesia was 98.2% and a total of 252 complications were observed in 181 infants and toddlers. Evaluation of demographic variables in infants and infants did not show a statistically significant difference. The most common type of surgery was inguinal hernia repair (79.2%) and the highest rate of failure was observed in hernia repair surgery (69.4%). In the evaluation of complications due to caudal anesthesia, it was observed that it was related to movement during surgery (71.8%). Apnea was also observed in 6.7% of neonates with complications (0.85% of the total) who had all cases of prematurity.