Key result
Caudal block prolonged postoperative analgesia compared to ilioinguinal/iliohypogastric nerve block (301.5 vs 242.4 minutes; p=0.001) among children undergoing inguinal surgeries.
Why the study?
Caudal block and ilioinguinal/iliohypogastric nerve blocks are common regional techniques for pediatric inguinal procedures, prompting a comparison of their analgesic effects using bupivacaine.
Does caudal block prolong postoperative analgesia compared to ilioinguinal/iliohypogastric nerve block in children undergoing inguinal surgeries?
Cohort (n=70)
No
Does caudal block prolong postoperative analgesia compared to ilioinguinal/iliohypogastric nerve block in children undergoing inguinal surgeries?
Absolute Event Rate: 301.5% vs 242.4%
p-value: p=0.001
Caudal block provides significantly longer postoperative analgesia than ilioinguinal/iliohypogastric nerve block in children undergoing inguinal surgeries.
Caudal block was associated with longer analgesia duration than ilioinguinal/iliohypogastric block; leaves open superiority in randomized trials.
Background: Caudal block (CB) is a common regional technique in pediatric patients. It involves the introduction of local anesthetic into the caudal epidural space. Ilioinguinal/iliohypogastric nerve block is also the most common abdominal wall blocks provide effective analgesia for surgical procedures of inguinal area. Objectives: To compare the analgesic effect of caudal and ilioinguinal/iliohypogastric nerve blockade using bupivacaine for children under going inguinal surgeries at Menellik 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 anesthesia based on the independent decision of anesthetist. Study participants were selected by Systematic random sampling technique. P-value less than 0.05 were considered as statistically significant. Result: This study found that caudal block has prolonged postoperative analgesia with a mean duration of 301.5 ± 73.5 min compared to 242.4 ± 66.4 min 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. Highlights:
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Yimer et al. (2020) conducted a cohort in Inguinal surgeries (n=70). Caudal block vs. Ilioinguinal/iliohypogastric nerve block was evaluated on Duration of postoperative analgesia (p=0.001). Caudal block prolonged postoperative analgesia compared to ilioinguinal/iliohypogastric nerve block (301.5 vs 242.4 minutes; p=0.001) among children undergoing inguinal surgeries.
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