The aim of this case report is to discuss the respiratory depression after caudal anesthesia for a case operated previously owing to spina bifida.
Neural tube defects are malformations of central nervous system of which spina bifida is the most common. This group is characterized by the protrusion of the meninges and-or the spinal cord through open vertebral arches. Spina bifida can be treated with orthotic treatment, physical therapy or surgical treatment.
A 9400 -gr-, 11 month old baby to be operated owing to inguinal hernia was administered caudal anesthesia with bupivacaine, %0,25 at 1 ml.kg-1 , after 1 mg midazolam and 25 mg propofol administration intravenously. Respiratory depression occurred 25 min after caudal anesthesia. Endotracheal entubation was administered and the case was ventilated mechanically. The case was extubated 145 min after caudal anesthesia, first tobe taken to the recovery room, second tobe taken to pediatric surgery unit and discharged from hospital at 2 days following surgery.
The use of low volume local anesthetic could decrease the complications in and patients.
Key Words: Caudal anesthesia, Spina bifida.
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