The paper reviews the use and value of caudal anaesthesia in obstetrics, challenging the notion that it is an unnecessary relic.
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Revives discussion on caudal anaesthesia in obstetrics; leaves open the need for prospective trials before practice change.
Present day trainee anaesthetists could be forgiven if they finished their anaesthetic training believing that caudal anaesthesia in obstetrics is not only unnecessary, but dangerous and a relic of the past. Many anaesthetic texts teach applications and techniques which are little or no advance on the teachings of Hingson and Edwards in 1942 and reflect nothing of the true value and application of this valuable block. This paper presents a critical review of these texts and of the results of the use of the block in a busy obstetric unit.
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John Paull (1990) studied this question.
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