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British Journal of Anaesthesia 2006 96(3):401-402; doi:10.1093/bja/aei639
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CORRESPONDENCE

Adjuncts to caudal blockade in children

* E-mail: nicalm@tiscali.it

The first 10% of the full text of this article appears below.

Editor—We read with great interest the editorial by Lönnqvist1 regarding caudal additives. The author gives an excellent description of the chronological development of caudal adjuncts. Nevertheless, we were somewhat surprised by his affirmations regarding caudal neostigmine. The author claims that two studies are proof enough to show that caudal neostigmine has no role in the caudal space and its use should be limited to the reversal of neuromuscular block—‘no further studies are needed’! Of the seven studies on caudal neostigmine in children,2–8 only two3 8 have been mentioned. Sample sizes of these two studies are quite small (n=30 and 20), therefore it seems premature to draw any sound conclusions. Four studies2 4 7 8 showed a significant prolongation of postoperative analgesia when neostigmine was added to local anaesthetic (5–8 . . . [Full Text of this Article]

N. Almenrader* and M. Passariello

Rome, Italy

E-mail: drmahajanr@rediffmail.com

R. Mahajan*, Y.K. Batra and S. Kumar

Chandigarh, India

E-mail Per-Arne.Lonnqvist@kirurgi.ki.se

P.A. Lönnqvist

Stockholm, Sweden


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