Ivani's 'no turn technique': An easy, safe and effective alternative method for caudal epidural block in children
Background: The caudal epidural block is an effective technique that is very common and popular in pediatric regional anesthesia practice. The conventional method of the caudal epidural block is not free of complication. The “no turn” technique is a very easy approach that reduces the risks associated with the conventional method. Aim of the study: Aim of the study was to evaluate the success rate and safety of the 'no turn technique' for caudal epidural block in pediatric patients. Methods: This is a prospective observational study; 440 patients were enrolled and analyzed. The study was carried out in the period of July 2018 to December 2018 at the Department of pediatric anesthesiology, Bangladesh Shishu Hospital & Institute, Dhaka, Bangladesh. All patients were attempted Ivani's no turn technique of caudal epidural block. Result: The mean time required to perform needle insertion was 0.8minutes.The technique was successfulin435 (98.86%)cases. The successful technique was considered as the needle was placed in caudal space with the absence of a bloody tap Subcutaneous placement of the needle after the first attempt occurred in two cases in the conventional method group and three cases in the new method group. No occurrence of duralpuncture. Among435 cases caudal was successful at the first attempt.3(0.68%) cases.1(0.23%) Patient needed second attempt and another1(0.23%) patient needed third attempt. The technique failed in 1(0.23%)case. Conclusion: Ivani's 'no turn technique' is an easy method with a high success rate and less complications.