A difficult caudal: anatomical land marks explained - Dr Kapila Hettiarachchi, lead consultant SBSCH скачать в хорошем качестве

A difficult caudal: anatomical land marks explained - Dr Kapila Hettiarachchi, lead consultant SBSCH

Before explaining caudal analgesia, let's discuss a few important caudal anatomical landmarks that are relevant to the procedure: Sacral Hiatus: The sacral hiatus is a small triangular opening located at the caudal end of the sacrum. It is formed by the absence of the laminae and spinous processes of the S5 vertebra and sometimes the coccyx. The sacral hiatus serves as the entry point for administering caudal analgesia. Sacral Cornua: The sacral cornua are small bony projections or horns located on each side of the sacral hiatus. These structures help guide the insertion needle during caudal analgesia. Sacrococcygeal Ligament: The sacrococcygeal ligament is a dense fibrous band that connects the sacrum to the coccyx. It provides stability to the coccyx and can be used as a reference point during the procedure. Coccygeal Cornua: The coccygeal cornua are small bony projections located at the caudal end of the coccyx. They can be palpated and used as landmarks to identify the correct insertion site for caudal analgesia. During caudal analgesia, an anesthetic agent is injected into the epidural space through the sacral hiatus. This technique is commonly used for pain management for surgical procedures involving the lower abdomen, perineum, or lower extremities. It's important to note that caudal analgesia is a specialized procedure that should be performed by a trained healthcare professional, such as an anesthesiologist. They will carefully identify and navigate the relevant caudal anatomical landmarks to ensure the safe and effective administration of the analgesic medication.