Further Studies with Continuous Drip Caudal Anesthesia

Abstract

Summary One hundred fifty pelvic deliveries and 35 surgical procedures, including 17 cesarean sections, were performed under continuous drip caudal anesthesia. Results were highly satisfactory, especially in the latter part of the series where certain modifications of the previously reported technique have reduced complications to a minimum. Breaking of the indwelling needle has become a remote possibility with the new types that are now available. Since instituting the saline rate test, no inadvertent spinal administration has occurred. The newly advised dosage has reduced reactions since the smaller volume confines the anesthesia to lower levels. The palm test has eliminated the possibility of complete failure due to subcutaneous injection.