Recently there has been comparatively widespread and in some instances indiscriminate use of continuous caudal anesthesia in obstetrics. To prevent serious accidents, some of the hazards and the methods of preventing and combating them should be reemphasized.
As more data are accumulated, one learns of complications which might have been prevented had the proper safeguards been taken. Some of the complications presented followed the single injection rather than the continuous administration of the anesthetic. However, the same principles apply to the two groups.
In a series of 121 cases of caudal anesthesia at the Chicago Lying-in Hospital there have been no deaths, either maternal or fetal. However, some interesting reactions have occurred, the most frequent being a drop in blood pressure. Our incidence of failures is 16 per cent.
Most serious and dangerous of the complications is that of injecting the solution into the subarachnoid space, and it
GREADY TG. SOME COMPLICATIONS OF CAUDAL ANESTHESIA AND THEIR MANAGEMENT. JAMA. 1943;123(11):671–675. doi:10.1001/jama.1943.02840460005002
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