Pelvic osteotomy under general anaesthesia combined with caudal blockade in children

Abstract

Combined anaesthesia (Local plus General) has been used at the 1 st Clinic of Orthopaedics since 1986. A trial is described involving 21 children and comparing them with a control group of 14 cases having only inhalation anaesthesia. Caudal blockade with Bupivacaine is the local anaesthesia used to decrease stress during pelvic osteotomies. The use of combined anaesthesia provides smoothness and stability with absence of side effects and the doses of anaesthetic and post- operative analgesic agents used were less than in the inhalation group. Postoperative analgesia lasts approximately 2-4 hours longer than general anaesthesia.