Assessment of surgeon performed caudal block for anorectal surgery

Summary: Background: The surgical anorectal diseases are common and distressful pathologies and their management mostly needs surgical intervention. Caudal anesthesia is effective in doing surgical procedures whenever the surgical area is mainly innervated by the sacral and lower lumbar nerve roots...

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Main Author: Muhammed Hassen Jaffar Al-sa'adi
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Asian Journal of Surgery
Online Access:http://www.sciencedirect.com/science/article/pii/S101595841830085X
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author Muhammed Hassen Jaffar Al-sa'adi
author_facet Muhammed Hassen Jaffar Al-sa'adi
author_sort Muhammed Hassen Jaffar Al-sa'adi
collection DOAJ
description Summary: Background: The surgical anorectal diseases are common and distressful pathologies and their management mostly needs surgical intervention. Caudal anesthesia is effective in doing surgical procedures whenever the surgical area is mainly innervated by the sacral and lower lumbar nerve roots. It is used to give the local anesthesia by surgeons, in the present study the surgeon is the person who also gives the caudal anesthesia. Methods: 202 patients (118 males vs. 84 females) were enrolled in this study with different surgical anorectal diseases. All of them were planned to be treated surgically under the effect of caudal anesthesia that was given by injection 10 ml of 2% lidocaine through sacral hiatus. All caudal anesthesia attempts were performed by the author surgeon. Results: The total success rate of caudal anesthesia performed by the surgeon was 72.2% (divided into ≅67.7% in the first year of the study, ≅72 in the second and ≅76.4% in the third year). The failed attempts were in 18.81% males vs. 8.91 females. The morbidity rate was 0.99% and the mortality rate was zero. Conclusions: The surgeon can perform the caudal anesthesia effectively and safely. This success improved with gaining more experience. This can help partly in solving the shortage in no. of anesthetists in some developing countries. Keywords: Surgeon, Caudal anesthesia, Anorectal disorders
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spelling doaj.art-0a24829af3184e6bafc5c00294efdbd92022-12-21T23:41:30ZengElsevierAsian Journal of Surgery1015-95842019-01-01421240243Assessment of surgeon performed caudal block for anorectal surgeryMuhammed Hassen Jaffar Al-sa'adi0Department of surgery, Misan College of Medicine, University of Misan, IraqSummary: Background: The surgical anorectal diseases are common and distressful pathologies and their management mostly needs surgical intervention. Caudal anesthesia is effective in doing surgical procedures whenever the surgical area is mainly innervated by the sacral and lower lumbar nerve roots. It is used to give the local anesthesia by surgeons, in the present study the surgeon is the person who also gives the caudal anesthesia. Methods: 202 patients (118 males vs. 84 females) were enrolled in this study with different surgical anorectal diseases. All of them were planned to be treated surgically under the effect of caudal anesthesia that was given by injection 10 ml of 2% lidocaine through sacral hiatus. All caudal anesthesia attempts were performed by the author surgeon. Results: The total success rate of caudal anesthesia performed by the surgeon was 72.2% (divided into ≅67.7% in the first year of the study, ≅72 in the second and ≅76.4% in the third year). The failed attempts were in 18.81% males vs. 8.91 females. The morbidity rate was 0.99% and the mortality rate was zero. Conclusions: The surgeon can perform the caudal anesthesia effectively and safely. This success improved with gaining more experience. This can help partly in solving the shortage in no. of anesthetists in some developing countries. Keywords: Surgeon, Caudal anesthesia, Anorectal disordershttp://www.sciencedirect.com/science/article/pii/S101595841830085X
spellingShingle Muhammed Hassen Jaffar Al-sa'adi
Assessment of surgeon performed caudal block for anorectal surgery
Asian Journal of Surgery
title Assessment of surgeon performed caudal block for anorectal surgery
title_full Assessment of surgeon performed caudal block for anorectal surgery
title_fullStr Assessment of surgeon performed caudal block for anorectal surgery
title_full_unstemmed Assessment of surgeon performed caudal block for anorectal surgery
title_short Assessment of surgeon performed caudal block for anorectal surgery
title_sort assessment of surgeon performed caudal block for anorectal surgery
url http://www.sciencedirect.com/science/article/pii/S101595841830085X
work_keys_str_mv AT muhammedhassenjaffaralsaadi assessmentofsurgeonperformedcaudalblockforanorectalsurgery