TYK413
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All the following are true about the caudal block EXCEPT:
a) The caudal block is ideally suited for procedures below the umbilicus
b) The sacral hiatus is formed by the fusion of the laminae of the fifth (and sometimes the fourth) sacral vertebrae
c) The caudal approach may be used to advance an epidural catheter to the thoracic epidural space
d) The dural sac extends to the third lumbar vertebral body in infants
e) An appropriate dose of local anesthetic for a single-shot caudal block in an 8 kg child would be 8 mL of bupivacaine 0.25% with epinephrine 1:200,000.
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Answer
Answer d. The dural sac extends to the third sacral vertebral body in infants. The remainder of the options are true statements about caudal epidural anesthesia.
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.