Analgesia and discharge following preincisional ilioinguinal and iliohypogastric nerve block combined with general or spinal anaesthesia for inguinal herniorrhaphy

Toivonen, Juhani; Permi, J; Rosenberg, P. H.

doi:10.1111/j.1399-6576.2004.00346.x

Cited by 30 publications

(34 citation statements)

References 23 publications

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“…[10] Toivonen ve ark. [3] IH cerrahisinde erişkin hastalarda genel veya spinal anesteziye eklenen IHNB'nin ameliyat sonrası ağrı değerleri ve taburculuk süre-lerine etkilerini değerlendirmişlerdir. IHNB %0.5 bupivakain 15 ml ile uygulanmıştır.…”

Section: Discussionunclassified

“…[3,11] Sakalli ve ark. [12] sezeryan ameliyatlarında GA+ IHNB'nin ameliyat sonrası ağrı ve analjezik tüketimi-nine etkisini değerlendirmişlerdir.…”

Section: Discussionunclassified

“…[1,2] İlioinguinal iliohipogastrik sinir bloğu (IHNB) ise erişkin hastalarda ameliyat sonrası analjezi amacı ile SA veya GA ile beraber uygulanmıştır. [3][4][5] Çocuk hastalarda da IHNB, GA ile birlikte ameliyat sonrası analjezi amacı ile başarı ile uygulanmış-tır. [6,7] Bununla beraber inguinal herni cerrahisinde anestezi tekniği olarak IHNB'nin uygulandığı klinik çalışma az sayıdadır.…”

Section: Introductionunclassified

See 2 more Smart Citations

Comparison of Ilioinguinal-İliohypogastric Nerve Block versus Spinal Anesthesia Techniques for Single Sided Inguinal Herniorrhaphy

Gurkan¹,

Ütebey²,

Özlü³

2013

Agri

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Section: Discussionunclassified

“…[3,11] Sakalli ve ark. [12] sezeryan ameliyatlarında GA+ IHNB'nin ameliyat sonrası ağrı ve analjezik tüketimi-nine etkisini değerlendirmişlerdir.…”

Section: Discussionunclassified

Section: Introductionunclassified

See 1 more Smart Citation

Comparison of Ilioinguinal-İliohypogastric Nerve Block versus Spinal Anesthesia Techniques for Single Sided Inguinal Herniorrhaphy

Gurkan¹,

Ütebey²,

Özlü³

2013

Agri

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“…2018; 28(3):e65146. In all anesthesia methods, to which II/IH was added, (general anesthesia/regional anesthesia/sedation), better and effective postoperative analgesia, lower pain scores and longer painlessness period were observed in the group to which the block was applied (6,(11)(12)(13)(14). Parallel to the literature, in the present study, the longest analgesia duration was observed in the ketamine-supported II/IH block group and this period was determined as 6.1 ± 3.5 hours.…”

Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasound-Guided Ilioinguinal/Iliohypogastric Block To Intraoperative Anesthesia In Children - Randomized Controlled Study

Küpeli

Biçer

2018

Iran J Pediatr

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Objectives: The aim of this study was to investigate the effect of ilioinguinal/iliohypogastric nerve block (II/IH) only supported by ketamine sedation on intraoperative anesthesia and analgesia. Methods: A total of 60 patients aged between 2 and 6 years, were included in the study. The patients were divided into three groups: 1) the II/IH block and ketamine group, 2) the II/IH block by inserting the laryngeal mask (LMA) and sevoflurane group, and 3) the LMA and sevoflurane group. Peroperative heart rate (HR), mean arterial pressure (MAP), amount of sevoflurane used, postoperative pain scores, number of children needing rescue analgesia, and time required for the first analgesia were recorded. Results:The patients, consisting of 34 males and 26 females had an average age of 4 ± 1.3 years. There was no difference in terms of HR and MAP between the ketamine + block applied group and LMA + block applied group; however, HRs were higher and MAPs were lower in the group in which no block was added but only sevoflurane maintenance was provided and the amount of sevoflurane used significantly decreased in the group supported by (II/IH) block (P < 005). In the postoperative period, the HR, MAP and pain scores were higher in the group with no added block but this difference was significant in the first 6 hours (P < 0.05). Rescue analgesia was applied to a fewer of patients in the groups with added blocks and nausea-vomiting occurred only in the group without block. It was observed that analgesia was needed in average for 6.1 hours in the block group to which ketamine was applied; 4.7 hours in average in the block group to which LMA was applied; and for 2.1 hours in average in the group not supported by block (P < 0.05). Conclusion: In this study, it was determined that II/IH block added to general anesthesia or sedation in pediatric lower abdominal surgery reduced the need for intraoperative anesthesia, provided a more stable intraoperative hemodynamics and analgesia, and provided less pain scores, longer analgesia duration, and shorter analgesia need in the postoperative period.

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“…Recently, there has been an increased emphasis on adequate pain management with minimal opioid administration [5][6][7][8][9][10]. This is particularly important with an aging population who are prone to the adverse effects of opioids including somnolence, cognitive impairment, nausea, vomiting, and respiratory depression [11].…”

Section: Discussionmentioning

confidence: 99%

Femoral Nerve Palsy Following Landmark Based Ilioinguinal-Iliohypogastric Nerve Block: Case Report and Safety Review

2017

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Inguinal hernia repair is one of the most commonly performed procedures in the United States. Ilioinguinal-iliohypogastric nerve blocks are commonly performed for postoperative pain control. Transient femoral nerve palsy is a recognized complication of this block. A 75-year-old male underwent an uncomplicated Lichtenstein repair of an incarcerated right inguinal hernia. An ilioinguinal-iliohypogastric nerve block was performed at the conclusion. Postoperatively, he reported symptomatology of femoral nerve palsy, with full resolution within 8 h. Femoral nerve palsy occurs when anesthetic is infiltrated into the transverse abdominis muscle, allowing for diffusion toward the femoral nerve along contiguous planes of the transverse abdominis-iliacus fascia. Incidence can be as high as 5%. Literature favors ultrasound to landmark-based approaches for improved efficacy and reduced complications. Postoperative protocols for femoral nerve palsy can be implemented with minimal effect on nursing workflow to improve patient safety from the effects of this complication.

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Analgesia and discharge following preincisional ilioinguinal and iliohypogastric nerve block combined with general or spinal anaesthesia for inguinal herniorrhaphy

Abstract: Only a relatively short immediate analgesic benefit could be demonstrated by a combination of IINB with spinal anaesthesia compared with IINB combined with general anaesthesia. The use of general anaesthesia facilitated an earlier postoperative discharge than spinal anaesthesia.

Cited by 30 publications

References 23 publications

Comparison of Ilioinguinal-İliohypogastric Nerve Block versus Spinal Anesthesia Techniques for Single Sided Inguinal Herniorrhaphy

Comparison of Ilioinguinal-İliohypogastric Nerve Block versus Spinal Anesthesia Techniques for Single Sided Inguinal Herniorrhaphy

Contribution of Ultrasound-Guided Ilioinguinal/Iliohypogastric Block To Intraoperative Anesthesia In Children - Randomized Controlled Study

Femoral Nerve Palsy Following Landmark Based Ilioinguinal-Iliohypogastric Nerve Block: Case Report and Safety Review

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