[The choice of drugs for caudal anaesthesia in XXXX . An overview].

@entity1 @entity2650 @entity1342 @entity1341 @entity1343 @entity1338 @entity16346 @entity65
Caudal anaesthesia is the most frequently used regional technique in paediatric anaesthesia. Caudal in combination with general anaesthesia is usually performed in healthy @entity1 (i.e. for herniotomy or @entity2650 ). Therefore every complication of this method is a catastrophe, even when the incidence of these complications is very low. Some of the documented complications of caudal anaesthesia in @entity1 are caused by the local anaesthetic solutions and/or by additives. Thus, the choice of substances for paediatric caudal blocks should minimize the risk associated with the substances used for this indication. Over the last decades the standard was @entity1341 but because of serious @entity65 following inadvertent intravascular injection of @entity1341 during caudal puncture, the less toxic @entity1342 should be favoured for this indication. A huge number of clinical studies have proven the clinical effectiveness and safety of @entity1342 also for this indication. In addition, @entity1343 , the L-enantiomere of @entity1341 , will also be an interesting local anaesthetic in the future for paediatric caudal anaesthesia. By using additives to local anaesthetics better analgesic properties should be obtained. Following an exact review of the literature, only @entity1338 and @entity16346 are useful additives to local anaesthetics in paediatric caudal anaesthesia.
