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Sacral Epidural Block

  • Tadashi TanoueEmail author
Chapter

Abstract

Sacral epidural block is synonymous with caudal epidural block. Local anesthetics are injected into the sacral epidural space, spread to the subarachnoid space, and block autonomic and sensory nerves of the cauda equina nerves and the lower spinal cord. It is widely used for pain management of the lumbar and sacral areas, lower extremities, and pelvic organs.

Keywords

Sacral epidural block Caudal epidural block Landmark Sacral hiatus Ultrasound-guided 

References

  1. 1.
    Hotta K. Caudal epidural block. In: Komatsu T, Sato Y, Seo N, Hirota K, editors. Ultrasound echo guided regional block. Tokyo: Kokuseido; 2008. p. 181–6. (in Japanese).Google Scholar
  2. 2.
    Waldman SD. Caudal epidural nerve block: Prone position. In: Waldman SD, editor. Atlas of interventional pain management. 2nd ed. Philadelphia: Saunders; 2004. p. 380–92.Google Scholar
  3. 3.
    Senoglu N, Senoglu M, Oksuz H, et al. Landmarks of the sacral hiatus for caudal epidural block: an anatomical study. BJA. 2005;95:692–5.CrossRefGoogle Scholar
  4. 4.
    Senoglu N, Senoglu M, Ozkan F, et al. The level of termination of the dural sac by MRI and its clinical relevance in caudal epidural block in adults. Surg Radiol Anat. 2013;35:579–84.CrossRefGoogle Scholar
  5. 5.
    Skin SK, Hong JY, Kim WO, et al. Ultrasound evaluation of the sacral area and comparison of sacral interspinous and hiatal approach for caudal block in children. Anesthesiology. 2009;111:1135–40.CrossRefGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologyTokyo Medical UniversityTokyoJapan

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