Caudal block in adult patients and its use in the perioperative period

Authors: K. Axmann 1;  M. Pieran 1;  E. Berta 2,3;  T. Gabrhelík 4
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Olomouc 1;  Ústav molekulární a translační medicíny, Lékařská fakulta Univezity Palackého v Olomouci 2;  Ringerike Hospital, VVHF, Hønefoss, Norsko 3;  Oddělení anesteziologie, resuscitace a intenzivní medicíny, Krajská nemocnice Tomáše Bati, a. s. 4
Published in: Anest. intenziv. Med., 30, 2019, č. 1, s. 33-38


Caudal block is a well-known and thoroughly studied technique of neuraxial anaesthesia routinely performed in paediatric anaesthesia. In adults, however, this method has been used mostly in chronic pain management. Due to more detailed understanding of anatomy and the routine use of ultrasound guidance, caudal block has recently been reintroduced into perioperative care in adults. It is now considered a simple, safe and reliable technique for both anaesthesia and postoperative analgesia in this group of patients. This review describes the anatomy and technical aspects with a focus on ultrasound guidance as well as suitable applications of this block in the perioperative setting in adults.


caudal block – regional anaesthesia – ultrasound – analgesia

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