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The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.
[…] There’s a question on whether it’s possible to over-moisturize using wet wrap, and the doctor on the support group’s advisory panel suggested not to wet-wrap if the wound is infected and to be mindful of use of topical steroid cream on flexural areas where the skin is thinner (as wet wrap increases the absorbency of steroid to skin). Also not to moisturize on weepy wounds and when the skin is better, wet wrap can be stopped and see your doctor again to assess the next-step skin management steps. There’s also concern on steroid potency, as GP/pediatrician and specialist tend to carry different steroid creams, you can check the table for steroid potency here. […]