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.
Dr. Marc Wolfsohn has practiced anesthesiology and interventional pain management in Ventura County for over 32 years. He is a former Chief of Anesthesiology, Chief of Surgery, and Chief of Staff of Saint John’s Regional Medical Center. Currently, Dr. Wolfsohn is the Medical Director of Spanish Hills Surgery center, which has been an ambulatory surgery center dedicated to the care of pain patients since 1998. Dr. Wolfsohn lives in Ventura County with his wife, is an avid golfer and musician, and loves spending time with his family. Marc Wolfsohn, . is an expertly trained physician who is determined to better the lives of his patients.