RT Journal Article SR Electronic T1 Awake caudal anaesthesia in neonates/young infants for improved patient safety JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr-2016-218500 DO 10.1136/bcr-2016-218500 VO 2017 A1 Wan Yen Lim A1 Sujani Anuruddhika Wijeratne A1 Evangeline Hua Ling Lim YR 2017 UL http://casereports.bmj.com/content/2017/bcr-2016-218500.abstract AB Caudal epidural block in a conscious infant is a recognised technique that allows the avoidance of general anaesthesia and risks associated with it. It is also technically easier to perform reliably compared with an awake subarachnoid block in skilled hands.1 While local anaesthetic systemic toxicity is a rare complication of caudal anaesthesia, this case illustrates the potential for caudal anaesthesia done awake in enhancing patient safety through early recognition of local anaesthetic systemic toxicity.