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Fischer B – Spinal, epidural and caudal blockade are the three components of central neuraxial blockade, and provide surgical anaesthesia and postoperative analgesia for sub–umbilical surgery (thoracic epidurals provide effective analgesia but not anaesthesia for thoracic and upper abdominal surgery). Epidural and caudal blockade have a number of synonyms, which can be confusing. The terms ‘epidural’ (extradural, peridural) and ‘caudal’ (sacral epidural) are used throughout this article.


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