Successful use of ultrasound-guided caudal catheter in a child with a very low termination of dural sac and Opitz-GBBB syndrome: a case report.
We report a 2-year-old patient with Opitz-GBBB syndrome scheduled for a posterior sagittal anorectoplasty (PSARP). The ultrasound scan revealed the inferior end of dural sac just below sacrococcygeal membrane, although the patient had previously two successful caudal epidural blocks. Consequently, the epidural catheter was inserted under a real-time ultrasound guidance without dural puncture. Our patient had excellent pain relief without any side effects.
['Mislovic|Branislav|B|']
D000763:Anesthesia, Caudal D002675:Child, Preschool D004947:Esophagus D006801:Humans D006972:Hypertelorism D007021:Hypospadias D008297:Male D059408:Pain Management D013115:Spinal Canal D018084:Ultrasonography, Interventional
caudal child Opitz-GBBB syndrome ultrasound pain anesthesia spinal canal