Analgesic Effect of Caudal and Abdominal Nerve Blocks among Children Undergoing Inguinal Surgeries: An Original Research

Author:

Jamwal Preeti1,Mohanty Ranjeet Kumar2,Khan Ayesha3,Mishra Jagannath4,Tiwari Heena Dixit5,Koneru Nihitha6,Tiwari Rahul7

Affiliation:

1. Department of Anesthesiology, Government Medical College, Kathua, Jammu and Kashmir, India

2. Consultant Anesthesiologist, District Headquarter Hospital, Government Medical College and Hospital, Sundargarh, Odisha, India

3. Department of Anaesthetics and Critical Care, Furness General Hospital, University Hospital Morcambe Bay-NHS, Barrow in Furness, Cumbria, United Kingdom

4. Department of Anaesthesiology, Government Medical College and Hospital, Sundargarh, Odisha, India

5. Rashtriya Kishore Swasthya Karyakram Consultant, District Medical and Health Office, Visakhapatnam, Andhra Pradesh, India

6. Department of Anaesthesia, Katuri Medical College and Hospital, Guntur, Andhra Pradesh, India

7. Consultant Oral and Maxillofacial Surgeon, Omni and Andhra Hospitals, Visakhapatnam, Andhra Pradesh, India

Abstract

ABSTRACT Context: Pediatric inguinal surgeries sometimes cause considerable post-operative pain that requires effective analgesics. Caudal and abdominal nerve blocks may help this population with pain. It is uncertain how successful they are compared. Methods: A randomized controlled trial included 70 pediatric inguinal surgery patients. An abdominal (ANB) or caudal nerve block (CNB) was randomly assigned to participants in addition to usual analgesic treatment. Post-operative pain was measured at various times using a standardized scale. The initial rescue analgesia time and dose were recorded. Statistics were used to compare CNB and ANB results. Results: The CNB and ANB groups were demographically similar. At every time point, the two groups’ analgesic usage and post-operative pain were similar. No serious adverse events occurred in either group. Conclusion: CNB and ANB provide equivalent analgesia for pediatric inguinal surgeries. Both approaches alleviate pain well and have similar post-operative effects. Individual nerve block approaches must be chosen based on patient features and clinical considerations. More research is needed to determine each procedure’s long-term safety and results.

Publisher

Medknow

Reference7 articles.

1. The efficacy of caudal ropivacaine 1, 2, and 3 mg/ml for postoperative analgesia in pediatric patients undergoing ureteral reimplantation;Bosenberg;Anesth Analg,2005

2. Regional anaesthesia in neonates, infants and children: An educational review;Jöhr;Eur J Anaesthesiol,2015

3. Local anesthetics and regional anesthesia versus conventional analgesia for preventing persistent postoperative pain in adults and children: A Cochrane systematic review and meta-analysis update;Levene;J Clin Anesth,2019

4. A comparison of wound instillation and caudal block for analgesia following pediatric inguinal herniorrhaphy;Conroy;J Pediatr Surg,1993

5. Caudal anesthesia in pediatrics: An update;Silvani;Minerva Anestesiol,2006

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