Rush Rodding of Femur in a Child with Osteogenesis Imperfecta Under Caudal Anaesthesia and Sedation: A Case Report

Abstract

In view of the possible instability of cervical spine, we decided to do the case under caudal anaesthesia and sedation using dexmedetomidine and ketamine. After noting down the baseline vitals, intravenous ketamine 1mg was given. The child was carefully positioned, and caudal anaesthesia was performed using 3ml of 2% lignocaine with adrenaline and 7 ml of 0.25% bupivacaine. The child was positioned supine carefully with adequate padding and was sedated using dexmedetomidine infusion with a loading dose of 10 microgram over 15 minutes and maintenance dose of 5 microgram per hour. The surgery lasted for two hours. The child remained haemodynamically stable throughout the procedure.