Comparison of caudal epidural block and ultrasonography-guided transversus abdominis plane block for pain relief in children undergoing lower abdominal surgery

Sethi, Nitin; Pant, Deepanjali; Dutta, Amitabh; Koul, Archna; Sood, Jayashree; Chugh, Parul

doi:10.1016/j.jclinane.2016.03.067

Cited by 38 publications

(37 citation statements)

References 21 publications

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“…The first analgesic use occurred at 4–15 hours in 17 patients who required analgesia in the caudal block group; of them, eight patients used analgesics for a second time. The duration of action of the caudal block in studies using 0.7 mL/kg bupivacaine was consistent with our findings 18 19…”

Section: Discussionsupporting

confidence: 90%

Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial

Öksüz

Arslan

Urfalıoğlu

et al. 2020

Reg Anesth Pain Med

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Background and objectivesCaudal epidural anesthesia is a widely used popular technique for postoperative analgesia but it has potential side effects and duration of analgesia is short. Quadratus lumborum block (QLB) was found to be an effective method for postoperative analgesia in lower abdominal surgeries. In this double-blind prospective randomized trial, we aimed to compare the postoperative analgesic efficacies of QLB and the caudal block in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries under general anesthesia.Materials and methodsAfter approval was obtained from the ethics committee, in this prospective randomized double-blind trial, 53 patients under general anesthesia undergoing inguinal hernia repair and orchiopexy surgeries randomly received caudal block or QLB. Demographic data, postoperative analgesic requirement, Face, Legs, Activity, Cry, and Consolability (FLACC) scores at 30 min, 1, 2, 4, 6, 12 and 24 hours, parent satisfaction scores and complications were recorded.ResultsThe study included 52 patients, after excluding one patient because of a failed caudal block. There were no significant differences between the groups based on demographic data (p>0.05). The number of patients who required analgesics in the first 24 hours was significantly lower in QLB group (p=0.001). Postoperative 4, 6, 12 hours FLACC scores were significantly lower in the QLB group (p<0.001, p=0.001 and p<0.001, respectively). Parent satisfaction scores were higher in the QLB group (p=0.014).ConclusionAccording to the results of this study, QLB can provide much more effective analgesia than caudal block without adjuvants in multimodal analgesia management of children undergoing inguinal hernia repair and orchiopexy surgeries.Trial registration numberNCT03294291.

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Section: Discussionsupporting

confidence: 90%

Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial

Öksüz

Arslan

Urfalıoğlu

et al. 2020

Reg Anesth Pain Med

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“…Caudal blocks provided a significantly prolonged duration of postoperative analgesia when compared with TAP blocks. 23 This report is similar to our report about level of effectiveness for TAP and caudal blocks.…”

Section: Discussionsupporting

confidence: 91%

Comparison of 3 different regional block techniques in pediatric patients

Şahin

Soydinc

Şen

et al. 2017

SMJ

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Objectives:To compare the analgesic efficiencies of caudal blocks, ultrasound (US)-guided transversus abdominis plane (TAP) blocks, and ilio-inguinal/ilio-hypogastric (II/IH) blocks performed to provide postoperative analgesia in pediatric patients undergoing unilateral lower abdominal surgery.Methods:This prospective, randomized, single-blinded study was conducted in the Department of Pediatric Surgery, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey from July 2013 to January 2015. The doses used were as follows: 0.5 ml/kg (group T), 0.3 ml/kg (group I), and 0.7 ml/kg (group C) of a 0.25% levobupivacaine solution with 1/200,000 adrenalin for the TAP block, II/IH block, and caudal block. The primary aim was to compare postoperative analgesic consumption within the first 24 hours after surgery. The secondary aim were to compare the mCHEOPS score, first analgesic requirement time, vital signs, and undesirable effects such as nausea and vomiting, which were recorded in the surgical ward at 1, 4, 8, 16, and 24 hours after surgery.Results:Ninety patients with American Society of Anesthesiology physical status class I-II were randomized into 3 groups (group I, group T, and group C). The total amount of analgesic consumption was significantly higher in Group I compared with Groups T and C (p=0.003). Pain scores at 1, 4, and 8 hours were significantly higher in Group I compared with the other 2 groups; however, pain scores in Group I at 16 hours were significantly higher only compared with Group C (p<0.05).Conclusion:Caudal and TAP blocks are more effective than II/IH nerve blocks in the early postoperative period.

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“…In lower abdominal surgery in children, such as hernia repair and orchiopexy, various techniques used have included the TAP block; caudal block, ilioinguinal block performed by the anesthesiologist; and wound infiltration, performed by the surgeon. [13][14][15] The QL block is a newly defined procedure, which can be applied in lower and upper abdominal surgery. Blanco et al 8,10 defined the QL1 block with an anterolateral approach in abdominoplasty operations.…”

Section: Discussionmentioning

confidence: 99%

Quadratus Lumborum Block Versus Transversus Abdominis Plane Block in Children Undergoing Low Abdominal Surgery

Öksüz

Bilal

Gürkan

et al. 2017

Regional Anesthesia and Pain Medicine

150

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Comparison of caudal epidural block and ultrasonography-guided transversus abdominis plane block for pain relief in children undergoing lower abdominal surgery

Cited by 38 publications

References 21 publications

Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial

Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial

Comparison of 3 different regional block techniques in pediatric patients

Quadratus Lumborum Block Versus Transversus Abdominis Plane Block in Children Undergoing Low Abdominal Surgery

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