A comparative study of caudal epidural anaesthesia versus general anaesthesia for lower abdominal and lower limb surgery in paediatric patients

Shah, Himanshu; Jaishree, S B; Bhavsar, Mrugank; Attal, Prerna; Ghosh, Subir; Gandhi, Mansi; Sarvaiya, Varsha

doi:10.7439/ijbr.v4i11.397

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…In our study, post-operatively out of 30 patients all (100%) patients reached pain score 4 in less than 15 minutes in group G. In group C out of 30 patients 19 (63.3%) patients reached pain score 4 in 4 hours while 11 (36.6%) patients reached in 4.5 hours which was comparable with the study of Shah et al [11].…”

Section: Discussionsupporting

confidence: 91%

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Comparison of general anaesthesia v/s caudal epidural in paediatric infra umbilical surgeries

Sharma¹,

Shah²,

Patel³

et al. 2015

Int Jour of Biomed Res

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Background: Our aim was to compare caudal epidural versus general anaesthesia in paediatric patients for safety, efficacy, post-operative analgesia, cost effectiveness and surgeon's comfort. Material and Methods: 60 paediatric patients 2 -6 years of ASA grade I and II posted for infra-umbilical surgery were randomly divided in to two groups. Group C (n=30) received caudal block anaesthesia using 0.25% Ropivacaine 1ml kg -1 . Group G (n=30) received general anesthesia with Thiopentone sodium, Succinylscoline as induction agent and O 2 , N 2 O, Isoflurane and incremental doses of Atracurium as maintenance. They were extubated in a usual manner after surgery. In both groups pain was assessed by observer pain score. Observation and Results: Cost was less in group C. There was no significant change in hemodynamics in both groups. Duration of rescue analgesia was significant less in group G. Rate of post-operative complication was higher in group G. caudal anaesthesia was much accepted by surgeon. Conclusion: Caudal epidural is quite inexpensive with excellent anaesthesia and satisfactory post-operative analgesia with lesser complication rate.

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Section: Discussionsupporting

confidence: 91%

“…Surgeons' satisfaction was higher in group C which was comparable with the study of Himanshu et al [11]. As in group C there was better analgesia and no incidence of nausea or vomiting as compare to group G three patients had nausea and vomiting.…”

Section: Discussionsupporting

confidence: 86%

Comparison of general anaesthesia v/s caudal epidural in paediatric infra umbilical surgeries

Sharma¹,

Shah²,

Patel³

et al. 2015

Int Jour of Biomed Res

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General versus general anaesthesia combined with caudal block in laparoscopic-assisted Soave pull-through of Hirschsprung disease: a retrospective study

et al. 2021

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Background Caudal block is one of the most preferred regional anesthesia for sub-umbilical region surgeries in the pediatric population. However, few studies are available on caudal block performed in laparoscopic-assisted Soave pull-through of Hirschsprung disease (HD). We aimed to compare general anesthesia (GA) and general anesthesia combined with caudal block (GA + CA) in laparoscopic-assisted Soave pull-through of HD. Methods A retrospective review was performed in children with HD operated in our hospital between 2017 and 2020. Patients were divided into the GA and GA + CA group. The primary outcome was the duration of operation, and secondary outcomes included intraoperative hemodynamic changes, the Face, Legs, Activity, Cry, Consolability (FLACC) scale, dose of anesthetics, and incidence of side effects. Results A total of 47 children with HD were included in the study, including 20 in the GA group and 27 in the GA + CA Group. The two groups were similar in age, gender, weight and type of HD (P > 0.05). The GA + CA group had significantly shorter duration of operation (especially the transanal operation time) (median 1.20 h vs. 0.83 h, P < 0.01) and recovery time (mean 18.05 min vs. 11.89 min, P < 0.01). The mean doses of sufentanil and rocuronium bromide during the procedure and FLACC scores at 1 h and 6 h after surgery were also lower in the GA + CA group (p < 0.01). The hemodynamic changes in the GA + CA group were more stable at time of t2 (during transanal operation) and t3 (10 min after transanal operation), but there was no significant difference in the incidence of postoperative side effects between the two groups (P = 1.000). Conclusion General anesthesia combined with caudal block can shorten the duration of operation, and provide more stable intraoperative hemodynamics and better postoperative analgesia.

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A comparative study of caudal epidural anaesthesia versus general anaesthesia for lower abdominal and lower limb surgery in paediatric patients

Cited by 2 publications

References 13 publications

Comparison of general anaesthesia v/s caudal epidural in paediatric infra umbilical surgeries

Comparison of general anaesthesia v/s caudal epidural in paediatric infra umbilical surgeries

General versus general anaesthesia combined with caudal block in laparoscopic-assisted Soave pull-through of Hirschsprung disease: a retrospective study

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