Comparison of the analgesic efficacy of caudal and ilioinguinal nerve blockade using bupivacaine for children under going inguinal surgeries at Menelik II hospital .
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Date
2019
Authors
Journal Title
Journal ISSN
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Publisher
Addis Abeba University
Abstract
Inguinal surgeries are a type of operations performed at the inguinal region. Caudal block
involves the introduction of local anesthetic into thecaudal epidural
space.Ilioinguinal/iliohypogastric nerve blocks is also the most common abdominal wall blocks
provide effective analgesia for surgical procedures of inguinal area.
Objectives
To compare the analgesic efficacy of caudal and ilioinguinal/iliohypogastric nerve blockade
using bupivacaine for children under going inguinal surgeries at Menelik II hospital.
Methodology
An institutional based prospective cohort study was conducted on 70 patients who under gone
inguinal surgeries under general anesthesia. Patients in CB group (n=35) received caudal block
and IL/IH group (n=35) received ilioinguinal/iliohypogastric nerve block after induction of
anesthesiabased on the independent decision of anesthetist.Study participants were selected by
Systematic random sampling technique. P-value less than 0.05 was considered as statistically
significant.
Result
: - This study found that caudal block has prolonged postoperative analgesia with a mean
duration of 301.5±73.5 minute compared to 242.4±66.4 minutes in Ilioinguinal/iliohypogastric
group (p=0.001). Total analgesic consumption and pain severity was comparable between the
groups (p>0.05) which is not statistically significant.
Conclusion and Recommendation
:
we found that caudal epidural had prolonged duration of
analgesia as compared to Ilioinguinal/iliohypogastric nerve block. Based on our finding we
recommend the use of caudal block as effective post-operative analgesia for inguinal surgeries in
pediatrics.
Description
Keywords
Analgesic efficacy , caudal , ilioinguinal ,iliohypogastric nerve blockade,bupivacaine, inguinal surgeries