B29 When real time ultrasound guided caudal block is the only feasible option: a case report. (11th August 2022)

• Record Type: Journal Article
• Authors: Oweidat, A; Karroum, R; Farid, I; Harb, A; Bhalla, T
• Is Part Of: Regional anesthesia and pain medicine. Volume 47(2022)Supplement 1
• Page Start: A98
• Page End: A98
• Publication Date: 2022-08-11
• Subjects: Conduction anesthesia -- Periodicals; Pain medicine -- Periodicals; 617.964
• DOI: 10.1136/rapm-2022-ESRA.104
• Languages: English
• ISSNs: 1098-7339

Abstract

Abstract : Background and Aims: Kagami ogata syndrome (KOS)patients present with craniofacial dysmorphism, thoraco abdominal abnormalities, and kyphoscoliosis.The choice of regional anesthesia poses a real challenge as the reliance on the usual regional anesthetic techniques including lumbar epidural, paravertebral, fascial plane blocks, and landmark caudal blocks can be very challenging. Methods: We elected to perform a real time ultrasound (US) guided caudal epidural block (CEB) in a patient with a medically challenging spine anatomyto identify the midline, depth, and level with spread of local anesthesia into the caudal epidural space. Results: Conclusions: This report should encourage pediatric anesthesiologists to familiarize themselves with ultrasound guided caudal blocks as certain situations will dictate such a need.