The use of caudal epidural anesthesia in clubfoot surgery

D. A. Foulk, Jennette Boakes, George T Rab, S. Schulman

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9 Scopus citations

Abstract

We reviewed records of 31 children who had surgical release of 41 clubfeet under general anesthesia with supplemental caudal epidural anesthesia. Compared to an equivalent group of 27 children (39 feet), the caudal epidural group exhibited a statistically significant decrease in intraoperative narcotic requirement. One child had a bloody tap, and caudal epidural anesthesia was abandoned, but there were no other complications. Excellent postoperative pain relief persisted for ≥8 h. Twenty-five of 31 caudal epidural patients were discharged safely on the same day as surgery without any surgical complications. Use of caudal epidural supplementation and outpatient surgery (where indicated) met with a high degree of parent satisfaction. Cost savings of outpatient clubfoot surgery, when compared to overnight stay, were disappointingly low.

Original languageEnglish (US)
Pages (from-to)604-607
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume15
Issue number5
StatePublished - 1995

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Keywords

  • Caudal epidural anesthesia
  • Clubfoot

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Foulk, D. A., Boakes, J., Rab, G. T., & Schulman, S. (1995). The use of caudal epidural anesthesia in clubfoot surgery. Journal of Pediatric Orthopaedics, 15(5), 604-607.