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Adjuncts to caudal block in childrenQuo vadis?
Department of Paediatric Anaesthesia and Intensive Care, Astrid Lindgrens Children's Hospital/Karolinska University Hospital, Stockholm, Sweden E-mail: per-arne.lonnqvist@kirurgi.ki.se
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Since its first description by Campbell in 19331 for paediatric urological interventions, caudal block has evolved to become the most popular regional anaesthetic technique for use in children. The reason for the widespread use of this block both by the fulltime paediatric anaesthetist, as well as those undertaking occasional paediatric cases, is that it can be used for most of the operations that make up the large bulk of every day paediatric anaesthesia (e.g. inguinal hernia repair, hydrocoele, orchidopexy, circumcision, orthopaedic interventions on the lower limb, anorectal procedures) and can also be used for certain types of abdominal surgery. The block is perhaps the most easily learned and mastered of all regional anaesthetic techniques and Jöhr and co-workers have shown that
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