A comparison between caudal block versus splash block for postoperative analgesia following inguinal herniorrhaphy in children / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 255-259, 2011.
Article
in English
| WPRIM
| ID: wpr-107872
ABSTRACT
BACKGROUND:
We wanted to determine the postoperative analgesic efficacy of preincisional caudal epidural block versus instillation (splash block) following inguinal herniorrhaphy in children.METHODS:
Thirty children (age range 1-7 years) who were scheduled to undergo inguinal herniorrhaphy were divided into 2 groups the caudal block group and the splash block group with 15 children in each group. Tracheal intubation was performed. Fifteen children received caudal block with 1.0 ml/kg of 0.25% ropivacaine (Group 1). Caudal block was performed using the loss of resistance method via the sacral hiatus. Fifteen children in Group 2 received local instillation (splash block) in the surgical site with up to 0.4 ml/kg of 0.25% ropivacaine. The patients were observed for 90 minutes in the postanesthesia care unit and then they were transferred to the ward. The pain scores were taken 4 times. We assessed pain using the Faces pain scores.RESULTS:
There were no significant differences between the groups regarding the pain scores at 10, 30 and 60 minutes upon entering the postanesthesia care unit. The pain scores of Group 1 were slightly lower at the last evaluation point when compared to that of Group 2. One patient in Group 1 required supplemental postoperative intravenous (IV) tramadol, while all the other patients in both groups did not require supplemental IV tramadol. The intraoperative requirement for sevoflurane was decreased in Group 1 as compared to that of Group 2. There were no major complications related to either type of block.CONCLUSIONS:
We conclude that a splash block can have a similar analgesic effect as that of a caudal block for the postoperative herniorrhaphy pain of children.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tramadol
/
Herniorrhaphy
/
Amides
/
Analgesia
/
Intubation
/
Methyl Ethers
Limits:
Child
/
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2011
Type:
Article
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