Identification of perineural cysts during ultrasound-guided caudal anaesthesia.

Autor: Maniar A; Department of Anaesthesia People Tree Hospital Bangalore India., Upadhye V; Deenanath Mangeshkar Hospital and Research Centre Pune India., Sai Prasad TR; Department of Paediatric Surgery People Tree Hospital Bangalore India.
Jazyk: angličtina
Zdroj: Anaesthesia reports [Anaesth Rep] 2020 Nov 10; Vol. 8 (2), pp. e12081. Date of Electronic Publication: 2020 Nov 10 (Print Publication: 2020).
DOI: 10.1002/anr3.12081
Abstrakt: An 8-year-old boy was scheduled for urethral fistula correction under general anaesthesia with an ultrasound-guided caudal block. During scanning of the caudal area, we noticed two cystic structures in the caudal space in the region of the intended needle endpoint so we decided against performing the caudal block. Surgery was conducted uneventfully and a penile block was administered as an alternative for analgesia postoperatively. Radiological evaluation of the child 3 weeks later revealed the presence of perineural cysts in the sacral region. Routine use of ultrasound for caudal anaesthesia procedures may reveal unexpected anomalies in the sacral area, which could have implications for optimal patient management.
(© 2020 Association of Anaesthetists.)
Databáze: MEDLINE
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