Key result
Caudal epidural anesthesia resulted in significantly lower surgical pain scores at 12 hours postoperatively (VAS 3.46 vs 4.52) and less extensive motor block compared to spinal anesthesia.
Why the study?
The study sought to compare levobupivacaine-based caudal epidural anesthesia and spinal anesthesia regarding intraoperative hemodynamic changes, postoperative pain, and patient comfort during ambulatory perianal surgery.
Does spinal anesthesia compared to caudal epidural anesthesia improve intraoperative hemodynamics and postoperative pain in patients undergoing ambulatory perianal surgery?
RCT (n=58)
Random allocation software
No
Does spinal anesthesia compared to caudal epidural anesthesia improve intraoperative hemodynamics and postoperative pain in patients undergoing ambulatory perianal surgery?
Absolute Event Rate: 3.46% vs 4.52%
p-value: p=0.024
Caudal epidural anesthesia provides more favorable postoperative pain control and less extensive motor block than spinal anesthesia for ambulatory perianal surgery, potentially facilitating earlier ambulation.
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Caudal levobupivacaine may improve postoperative analgesia and ambulation in outpatient perianal surgery; extends sparse RCT data comparing these regional techniques.
Akdoğan et al. (2021) conducted an RCT in Ambulatory perianal surgery (perianal abscess, fistula, hemorrhoids, anal fissures) (n=58). Caudal epidural anesthesia vs. Spinal anesthesia (2.5ml of 0.5% levobupivacaine + 25 µg fentanyl) was evaluated on Visual analogue scale (VAS) score for surgical pain at postoperative 12 hours (p=0.024). Caudal epidural anesthesia resulted in significantly lower surgical pain scores at 12 hours postoperatively (VAS 3.46 vs 4.52) and less extensive motor block compared to spinal anesthesia.
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