EFFECTIVENESS OF CAUDAL EPIDURAL ANAESTHESIA IN ANORECTAL SURGERY.

Abstract

Objectives: To assess the effectiveness of caudal epidural anaesthesia in patients with anorectal surgical condition. Study Design: Prospective randomized study. Setting: Department of Surgery, Jinnah Hospital, Lahore. Period: 1^st August 2016 to 31^st July 2017. Materials and Methods: One hundred and eighty patients with general anorectal surgical conditions were recruited in this study with their consent. Patients were subject to surgery planned beneath caudal block. Results: One hundred and fifty eight patients (87%) satisfy with the technique of anaesthesia and one hundred sixty six (92.22%) patients demonstrate satisfaction with the postoperative pain control. One hundred and fifty two patients (84.44%) were resisted with pre-operative information and 158 (87%) patients show their consent to select this kind of anaesthesia if needed again. In 20 patients there was block failure caused about 11.11% failure rate. Conclusion: Satisfactory anaesthesia, minimal requirements, cost effectiveness and high patients acceptability make caudal anaesthesia a suitable choice for trivial and surgery.