clinical and radiological evaluation of caudala nesthesia in pediatrics doseajust ment

Caudal anesthesia is the single most important pediatric regional anesthetic technique. The technique is relatively easy to learn, has a remarkable safety record, and can be used for a large variety of procedures. The technique has been reviewed in the English and French literature, as well as in German guidelines and in pediatric anesthesia textbooks.The future of regional anesthesia in children is to continue to use current techniques, but also to search for ways to make them easier to employ. The potential development of safe local anesthetic agents with much longer durations, will serve to facilitate improvements in the techniques and styles of practice.Our Aim of the work was to study the caudal anesthesia in different pediatric patients and find out the most appropriate dose in sufficient volume of local anesthetic to be used as a guideline to achieve the required block level.Our Aim of the work was to study the caudal anesthesia in different pediatric patients and find out the most appropriate dose in sufficient volume of local anesthetic.There were no significant differences between the two groups regarding spread of local anesthetic in the 2 groups after dividing the dose into 2 equal volumes. Also, doubling the volume of local anesthetic injected was not accompanied by doubling of level as assessed by epidurography.caudal anesthesia a safe and effective block in pediatric age group and can be used as a sole anesthetic for the procedure or used as analgesia in conjunction with light general anesthesia .