Retrospective evaluation of caudal analgesia effectiveness in pediatric orthopedic surgery

Objective: In our study, Ege University Faculty of Medicine, Orthopaedics in 2010- 2013 years of pediatric orthopedic surgery patients who had the caudal block made after general anesthesia, perioperative and we aimed to evaluate retrospectively the analgesic efficacy and complications in the postoperative period. Materials and Methods: The present study examined the Ege University Medical Faculty Orthopaedics and Traumatology in the years 2010-2013 in pediatric orthopedic surgery and pediatric caudal block files of applied retrospectively. perioptic track records of perioperative hemodynamic certain intervals (HR, MAP, SPO2) parameters were recorded. Postoperative follow-up record of postoperative 10th, 30th, 60th, 120th, 180th, 240 minutes objective pain scores and hemodynamic data (OAS) (Table 3.1.), Ramsey Sedation Score (RSS) (Table 3.2), first analgesic take the time and were not receiving the additional analgesic. Results: The study included 92 patients. 50 of the patients' side (54.3%) consisted of boys. The mean age was 5.6 +/- 3.7 years, the average weight was found to be 19.2 +/- 9.7 kg. Operation time min 100.1 +/- 94.1. as detected. In 11 cases (12%) had adverse effects. None of the patients showed no complications. The timing of administration to patients on average were identified as analgesic 434.2 +/- 228.4 min. Incision, after incision 2-5-15-30-45.dk and HR values ​​at the last measurement showed a significant decrease as compared to the previous statistical induction. After caudal block, surgical incision, after incision 2-5-15-30-45. min. and final measurement in Sevoflurane (SEV) showed a statistically significant decrease compared to pre-concentration values ​​of caudal block. Surgical incision, incision 30. 45.min. and showed a statistically significant decrease compared to the last measurement prior to induction of MAP values. OAS rather low values ​​recorded in 91% of patients. Result: Our results based on the analysis we have done with the data caudal block success rate is high, the application is easy and complication rate is low and in pediatric patients scheduled for surgery below the umbilicus it was found to be a suitable method that can provide long-term analgesia.