- Email: [email protected]
28: Comparing Caudal Block and Ilioinguinal -Iliohypogastric Nerve Block Using Bupivacaine +Clonidine for Pain Relief of Inguinal Surgeries in Children
Free Papers
28. Comparing caudal block and ilioinguinal -iliohypogastric nerve block using bupivacaine ⫹clonidine for pain relief of inguinal surgeries in children M. Seyedhejazi1, E. Madarek2, Z. Adrang1 1Tabriz University of Medical Sciences, Anesthesia, Tabriz, Islamic Republic of Iran, 2Tabriz University of Medical Sciences, Obstetric Gynnecology, Tabriz, Islamic Republic of Iran Background and Aims: Caudal epidural block is one of the most common regional anesthetic techniques used in neonate and children .The ilioinguinal or iliohypogastric nerve block provide excellent pain relief for operations on the inguinal region, including emergency procedures (eg. strangulated hernia with intestinal obstruction), and it should be preferred to caudal anesthesia for these procedures. The aim of this study was to compare these two blocks for controlling pain of inguinal hernia repair. Methods: After approval by our local ethics committee and written parental consent 67 ASA class I, II children between two and seven years old scheduled for elective inguinal hernia repair were allocated randomly into two groups. In group C caudal block with 0.25% bupivacaine 1ml /kg combined with clonidine1g/kg, in group I ilioinguinal- iliohypogastric block with 0.25% bupivacaine 0.3 ml /kg combined with clonidine1g/kg were performed. Results: In group C seven from 34 and in group I twelve from 33 children required postoperative analgesia (p⫽0.174).Five children (15.5% ) in group I and one (2.94%) in group C had sever pain after operation. Systolic and diastolic blood pressure decreased during operation, but the differences between two groups were not significant (p⫽0.176, p⫽0.111). Conclusions: It seems that in children caudal and ilioinguinal iliohypogastric block have the same effect on analgesia, severity of pain and hemodynamic changes during and after operation on inguinal region.
•
Pediatrics
25
28. Comparing caudal block and ilioinguinal -iliohypogastric nerve block using bupivacaine ⫹clonidine for pain relief of inguinal surgeries in children M. Seyedhejazi1, E. Madarek2, Z. Adrang1 1Tabriz University of Medical Sciences, Anesthesia, Tabriz, Islamic Republic of Iran, 2Tabriz University of Medical Sciences, Obstetric Gynnecology, Tabriz, Islamic Republic of Iran Background and Aims: Caudal epidural block is one of the most common regional anesthetic techniques used in neonate and children .The ilioinguinal or iliohypogastric nerve block provide excellent pain relief for operations on the inguinal region, including emergency procedures (eg. strangulated hernia with intestinal obstruction), and it should be preferred to caudal anesthesia for these procedures. The aim of this study was to compare these two blocks for controlling pain of inguinal hernia repair. Methods: After approval by our local ethics committee and written parental consent 67 ASA class I, II children between two and seven years old scheduled for elective inguinal hernia repair were allocated randomly into two groups. In group C caudal block with 0.25% bupivacaine 1ml /kg combined with clonidine1g/kg, in group I ilioinguinal- iliohypogastric block with 0.25% bupivacaine 0.3 ml /kg combined with clonidine1g/kg were performed. Results: In group C seven from 34 and in group I twelve from 33 children required postoperative analgesia (p⫽0.174).Five children (15.5% ) in group I and one (2.94%) in group C had sever pain after operation. Systolic and diastolic blood pressure decreased during operation, but the differences between two groups were not significant (p⫽0.176, p⫽0.111). Conclusions: It seems that in children caudal and ilioinguinal iliohypogastric block have the same effect on analgesia, severity of pain and hemodynamic changes during and after operation on inguinal region.
•
Pediatrics
25