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KMID : 0356919950280020302
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Korean Journal of Anesthesiology
1995 Volume.28 No. 2 p.302 ~ p.308
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Caudal Anesthesia for the Reduction of Femur Shaft Fracutre in a Patient with Severe Kyphoscoliosis
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Abstract
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We had experenced a successful caudal anesthesia for the intramedullary nailing of fractured femur shaft in a 39 years-old, male, adult weighing 47 kg with severe kyphoscoliosis. We had chosen caudal anesthesia as an anesthetic method because of
his
poor pulmonary function and severe deformity of thoracolumbar spine. Caudal anesthesia was performed with administration of the mixture of 6 mL of 2% mL of 1.5% lidocaine, 10 mL of 0.5% bupivacaine, and 0.15 mg of 0.1% epinephrine. We could
achieve
the
adequate anesthetic sensory dermatome level, L1, for the operation without any significant deterioration of blood pressures and respiration.
We recommend that caudal anesthesia is a useful anesthetic method for a patient with severe kyphoscoliosis when the operation on hip or lower extremity is required.
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