Key result
Caudal epidural analgesia with bupivacaine significantly increased the proportion of children who were pain-free for the first three hours postoperatively compared to paracetamol suppository (44.4% vs 9.1%, p=0.013).
Why the study?
Postoperative pain control is important in children, as poor pain control leads to organ dysfunction and behavioral problems.
Does a single-shot caudal block with bupivacaine improve postoperative pain relief compared to acetaminophen suppository in children aged 1-7 years undergoing elective inguinal hernia repair?
RCT (n=40)
According to operation waiting lists
Yes
Does a single-shot caudal block with bupivacaine improve postoperative pain relief compared to acetaminophen suppository in children aged 1-7 years undergoing elective inguinal hernia repair?
Absolute Event Rate: 44.4% vs 9.1%
p-value: p=0.013
Caudal anesthesia with bupivacaine provides superior and longer-lasting postoperative analgesia compared to acetaminophen suppository in pediatric patients undergoing inguinal hernia repair.
Supports caudal bupivacaine over acetaminophen for early postoperative analgesia in pediatric inguinal hernia repair; extends RCT evidence for regional techniques in ambulatory surgery.
Background: the control of postoperative pain is important in children, and poor pain control leads to organdysfunction and behavioral problem.Aim of study: we compare the analgesic effect of bupivacaine by caudal block root and acetaminophen suppositoryon postoperative pain in pediatric inguinal hernial repair surgery.Patient and Methods: A prospective, randomized, controlled trail of 40 children, aged between (1-7 years), ASAgrade I-II, scheduled for elective day case unilateral inguinal surgery. For all the patients included in this study,a standardized controlled anesthetic protocol was used. Preoperatively the patients were randomized into twogroups according to the operation waiting lists. group 1 included (18) patients who received single - shot caudalblock with (1ml/kg) of 25% bupivacaine preoperatively after induction of anesthesia by the anesthetist, group 2included (22) patients who received (15-20 mg/kg) acetaminophen suppository.Results: The number of patients (who had first three hours free of pain); was significantly higher in the Caudalgroup than those of the other group. Patients of the Caudal group; needed significantly a longer duration of timefor the first analgesic drug. Patients of the Caudal group; had significantly a lower (Face, Legs, Activity, Cry,Consolability scale) in (1/2, 1, and 2 hours) time intervals of the study.Conclusion: Caudal anesthesia with bupivacaine has better painless period postoperatively.
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Kamil et al. (2022) conducted an RCT in Pediatric inguinal hernia (n=40). Caudal block with bupivacaine vs. Paracetamol suppository (15-20 mg/kg) was evaluated on Pain-free for the first three hours postoperatively (p=0.013). Caudal epidural analgesia with bupivacaine significantly increased the proportion of children who were pain-free for the first three hours postoperatively compared to paracetamol suppository (44.4% vs 9.1%, p=0.013).
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