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Just curious from others here on board what does most use for caudals? Local concentration, volume, adjuncts ? Also w/ us and tap blocks how many actually do caudals for non urologic cases?
0Also w/ us and tap blocks how many actually do caudals for non urologic cases?
I'll do caudals for hernia repairs, ostomy takedowns, femoral fractures (amazing how it helps kids transition to SPICA casts...just have to make sure they leave enough room to access the hiatus in a sterile fashion)...as well as liberally in the urologic population.
I agree. I rarely use it caudal unless it's a hypospadias repair proximal urologic. As far as technique 1/8 Marcaine with epi plus 2 mg/kg clonidine. With the advent of Decadron and peripheral nerve blocks I've seen recently in literature to suggest Decadron in the caudal space may extend duration block. Anyone currently using Decadron or any other adjuncts other than clonidine?jOf all the cases that you mentionned i'd only maybe do a caudal for femoral fractures if for some reason i did't want to do a femoral block.
Caudal block are really inferior to other techniques imho