Total spinal anaesthesia following caudal block with bupivacaine and buprenorphine
Document Type
Report
Department
Anaesthesia
Abstract
This is a case report of an 18-month-old 10 kg child who presented for emergency repair of a recurrent diaphragmatic hernia with a history of craniofacial dystosis and was given a caudal block postoperatively with a combination of 4 ml of 0.5% bupivacaine and 2.5 micrograms.kg-1 buprenorphine made up to a total volume of 10 ml. An inadvertent dural puncture occurred resulting in total spinal block which was managed symptomatically. Block regression started one h later when the respiratory movements became noticeable. Eye opening and hand movements returned 3 h later. The patient's exposure to a large intrathecal dose of buprenorphine did not lead to prolonged respiratory depression. The possibility of a midbrain insult due to a sudden rise in intracranial pressure is also discussed.
Publication (Name of Journal)
Paediatric Anaesthesia
Recommended Citation
Afshan, G.,
Khan, F. A.
(1996). Total spinal anaesthesia following caudal block with bupivacaine and buprenorphine. Paediatric Anaesthesia, 6(3), 239-242.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_anaesth/315