Evaluation of caudal epidural anesthesia efficacy by measurement of feet skin temperature in children

Authors

  • M. Yu. Kurochkin

DOI:

https://doi.org/10.14739/2310-1210.2015.2.42118

Keywords:

Caudal Anesthesia, Child, Skin Temperature, Hemodynamics

Abstract

Caudal epidural anesthesia in children is not performed in pure form, but only in combination with superficial general anesthesia. Therefore, a search for reliable evaluation criteria of the caudal epidural block onset in children remains actual.

Aim. To evaluate effectiveness of caudal epidural anesthesia efficacy by measurement of feet skin temperature in children.

Methods and results. We investigated feet skin temperature before the caudal blockade by bupivacaine and after 15–20 minutes in 30 children. The control group included 20 children who underwent total intravenous anesthesia. The study showed that feet skin temperature after caudal blockade significantly increased from 30,1±0,15°C to 33,0±0,1°C (10%) and in the control group it did not change significantly.

Conclusion. Thus, feet skin thermometry may be considered to be a reliable non-invasive method for assessing the onset of the caudal block.

References

Gregori, D. A. (2003). Anesteziya v pediatrii [Pediatric anesthesia]. Moscow: Medicina. [in Russian].

Ramfell, D. P., Nil, D. M., & Viskoumi, K. M. (2007). Regionalnaia anesteziia [Regional anesthesia]. Moscow: Medpress-inform. [in Russian].

Solenkova, A. V., Safronov, V. A., Lubnin, A. Yu., Shevelev, I. I., & Konovalov, N. A. (2012). Epidural`naya anesteziya pri operativnykh vmeshatel`stvakh na pozvonochnike i spinnom mozge [Epidural anesthesia in operations on spine and spinal cord]. Anesteziologiya I reanimatologiya, 4, 38–42. [in Russian].

Tagirov, I. S. (2007). Ocenka adekvatnosti epidural`noj anestezii pri endojrologicheskikh operaciyakh na pochkakh i mochetochnikakh (Avtoref. dis…kand. med. nauk). [Evaluation of epidural anesthesia adequacy in endourologic operations on kidneys and ureter] (Extended abstract of candidate’s thesis). Moscow [in Russian].

Ehrlich, P. F., Vedulla, G., Cottrell, N., & Seidman, P. A. (2003). Monitoring intraoperative effectiveness of caudal analgesia through skin temperature variation. Journal of Pediatric Surgery, 38(3), 386–389.

Sessler, D. I. (2008). Temperature Monitoring and Perioperative Thermoregulation. Anaesthesiology, 109, 318–338. doi: 10.1097/ALN.0b013e31817f6d76.

Stevens, M. F., Werdehausen, R., Hermanns, H., & Lipfert, P. (2006). Skin temperature during regional anesthesia of the lower extremity. Anesth. Analg, 102, 1247–1252. doi: 10.1213/01.ane.0000198627.16144.77.

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How to Cite

1.
Kurochkin MY. Evaluation of caudal epidural anesthesia efficacy by measurement of feet skin temperature in children. Zaporozhye Medical Journal [Internet]. 2015Apr.27 [cited 2024Nov.23];17(2). Available from: http://zmj.zsmu.edu.ua/article/view/42118

Issue

No. 2 (2015): Zaporozhye medical journal

Section

Original research

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