Pediatric anesthesia & critical care
Caudal block, high flow oxygen insufflation and dexmedetomidine sedation for inguinal hernia surgery in infants—A prospective evaluation of an alternative anesthesia technique
Authors' conclusion
Caudal block, high-flow nasal oxygen insufflation and intravenous dexmedetomidine sedation is a potential alternative to general anesthesia for infant inguinal hernia surgery with a low rate of complications in this small cohort of infants.
Study context
- Population
- Infants less than 64 weeks post-menstrual age undergoing inguinal hernia surgery, three centres in Australia and New Zealand
- Participants
- 50 participants · 3 centres
- Outcome
- Successful completion of surgery without conversion to GA
Methodological detailsinternational, single-group, Care provided by 22 anesthesiologists and 11 surgeons
- International
- Single-group
- Care provided by 22 anesthesiologists and 11 surgeons
Main finding
As reported in the abstract
Completion of surgery with the technique successful
41 of 50
82%
Observational data: associations, not effects.
Safety
Intraoperative complications
- Apnea
- 1 (2.4%)
- Bradycardia
- 2 (4.9%)
- Hypotension
- 2 (4.9%)
- Desaturation
- 1 (2.4%)
- Low incidence
Postoperative complications
- Apnea
- 3 (7.3%)
- Bradycardia
- 3 (7.3%)
- Hypotension
- 3 (7.3%)
- Desaturation
- 4 (9.8%)
- No infants intubated in the first 24 h postoperatively
Original publication
Caudal block, high flow oxygen insufflation and dexmedetomidine sedation for inguinal hernia surgery in infants—A prospective evaluation of an alternative anesthesia technique. Paediatr Anaesth. Published 7 November 2024. doi:10.
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