TY - CHAP M1 - Book, Section TI - Caudal Anesthesia A1 - Candido, Kenneth D. A1 - Tharian, Anthony R. A1 - Winnie, Alon P. A2 - Hadzic, Admir Y1 - 2017 N1 - T2 - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e AB - Caudal anesthesia was described at the turn of last century by two French physicians, Fernand Cathelin and Jean-Anthanase Sicard. The technique pre-dated the lumbar approach to epidural block by several years.1 Caudal anesthesia, however, did not gain in popularity immediately following its inception. One of the major reasons caudal anesthesia was not embraced is the wide anatomical variations of sacral bones and the consequent failure rate associated with attempts to locate the sacral hiatus. The failure rate of 5% to 10% made caudal epidural anesthesia unpopular until a resurgence of interest in the 1940s, led by Hingson and colleagues, who used it in obstetrical anesthesia. Caudal epidural anesthesia has many applications, including surgical anesthesia in children and adults, as well as the management of acute and chronic pain conditions. Success rates of 98%–100% can be achieved in infants and young children before the age of puberty, as well as in lean adults.1 The technique of caudal epidural block in pain management has been greatly enhanced by the use of fluoroscopic guidance and epidurography, in which high success rates can be attained. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1141733352 ER -