ArticleFrontiers in pediatrics2025
Spinal anesthesia with caudal catheter in pediatric urologic surgery: an alternative to general anesthesia.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Introduction: To evaluate feasibility and outcomes of children undergoing complex urologic surgery who received spinal-caudal catheter (SCC) anesthesia compared to those who received general anesthesia (GA). Methods: A retrospective single-center analysis of children scheduled for urologic surgery under SCC anesthesia between 2016 and 2019 was performed. This group was compared with an age- and urologic procedure-paired GA cohort that included cases since 2010. Outcomes of interest included induction and operative times, intraoperative medication use, as well as anesthesia complications. Results: Each cohort was comprised of 52 patients. Induction times were longer with a mean difference of 4 min ( Conclusion: SCC anesthesia is feasible in most patients undergoing complex urologic surgery as an alternative to GA. Although induction times are slightly longer, this may be worth the benefit, as regional anesthesia may reduce the need for using an airway device and intraoperative opioid use.
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