Korean J Anesthesiol.  1995 Feb;28(2):302-308. 10.4097/kjae.1995.28.2.302.

Caudal Anesthesia for the Reduction of Femur Shaft Fracture in a Patient with Severe Kyphoscoliosis

• Lee JH
• Lee KY
• Shin YS

• KMID: 2239178
• DOI: http://doi.org/10.4097/kjae.1995.28.2.302

Abstract

We had experienced a successful caudal anesthesia for the intramedullary nailing of fractured femur shaft in a 39 years-old, male, adult weighing 47 kg with severe kyphoscoliosis. We had chosen caudal anesthesia as an anesthetic method because of his poor pulmonary function and severe deformity of thoracolumbar spine. Caudal anesthesia was performed with administration of the mixture of 6 mL of 2% lidocaine, 12 mL of 1.5% lidocaine, 10 mL of 0.5% bupivacaine, and 0.15 mg of 0.1% epinephrine. We could achieve the adequate anesthetic sensory dermatome level, L1, for the operation without any significant deterioration of blood pressures and respiration. We recommend that caudal anesthesia is a useful anesthetic method for a patient with severe kyphoscoliosis when the operation on hip or lower extremity is required.

Keyword

Fracture of femur shaft; Kyphoscoliosis; Caudal anesthesia

MeSH Terms

Adult
Anesthesia, Caudal*
Bupivacaine
Congenital Abnormalities
Epinephrine
Femur*
Fracture Fixation, Intramedullary
Hip
Humans
Lidocaine
Lower Extremity
Male
Respiration
Spine
Bupivacaine
Epinephrine
Lidocaine