Neuraxial anaesthesia in paediatrics

Amod Sawardekar, Dorota Szczodry, Santhanam Suresh

Research output: Contribution to journalReview articlepeer-review


Abstract Neuraxial anaesthesia is a valuable tool in the practice of paediatric anaesthesia. Spinal and epidural blockade are used for a variety of surgical cases as the sole anaesthetic or as an adjunct to general anaesthesia, and confer significant postoperative analgesia. Caudal epidural anaesthesia is used extensively for lower abdominal, urological, and orthopaedic procedures in the setting of outpatient surgery. Lumbar and thoracic epidural infusions via a catheter can provide analgesia for chest and upper abdominal procedures. The potential complications associated with neuraxial anaesthesia can be minimized by prudent technique and careful management. The use of the ultrasound for real-time visualization during paediatric neuraxial blocks may improve safety, success rate, and pain control after surgery.

Original languageEnglish (US)
Pages (from-to)251-254
Number of pages4
JournalAnaesthesia and Intensive Care Medicine
Issue number6
StatePublished - Jun 2013


  • Keywords Caudal blockade neuraxial blockade paediatric thoracic epidural anaesthesia postoperative analgesia spinal anaesthesia ultrasound-guided paediatric regional anaesthesia

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine


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