Background: Caudal block is a common technique for paediatric analgesia but has disadvantage of short duration of action after single injection. Various adjuvants were tried with local anaesthetics to prolong duration of post-operative analgesia in caudal block. This prospective study was designed to assess and compare the efficacy of clonidine and dexmedetomidine used as adjuvants to bupivacai...

BACKGROUND Caudal epidural analgesia with bupivacaine is very popular in paediatric anaesthesia for providing intra- and postoperative analgesia. Several adjuvants have been used to prolong the action of bupivacaine. OBJECTIVES To compare the efficacy of ketamine, fentanyl and clonidine in terms of quality and duration of analgesia they produce when added with caudal bupivacaine by single sho...

The report in this issue by Wood et aL I chronicles the development of a paediatric epidural analgesia programme at Alberta Children's Hospital. In these authors' experience, epidural analgesia was associated with good analgesia and safety, though with a considerable incidence of side effects and technical difficulties. Readers should not be put off by the quoted incidence of "complications"; m...