Effects of ultrasound guided caudal epidural and transversus abdominis plane block on postoperative analgesia in pediatric inguinal hernia repair surgeries

Polat, Hacer; Şentürk, Emre; Karadeniz, Meltem Savran; Bingül, Emre Sertaç; Demirel, Ebru Emre; Erginel, Başak; Tuğrul, Kamil

doi:10.1016/j.jpurol.2022.11.005

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…undergoing inguinal procedures, 3,4 however, this study did not provide indications of opioid or non-opioid use for postoperative pain control. We are concerned that the lack of a consistent pain control target in this study would have biased primary and secondary outcomes.…”

Section: Authors' Contributionsmentioning

confidence: 85%

Comparing Efficacy of Regional Analgesia Techniques After Pediatric Inguinal Procedures

Li,

Xue,

2024

Eur J Pediatr Surg

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Section: Authors' Contributionsmentioning

confidence: 85%

Comparing Efficacy of Regional Analgesia Techniques After Pediatric Inguinal Procedures

Li,

Xue,

2024

Eur J Pediatr Surg

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A Systematic Review and Meta-Analysis Comparing the Effectiveness of Transversus Abdominis Plane Block and Caudal Block for Relief of Postoperative Pain in Children Who Underwent Lower Abdominal Surgeries

Xiao,

Sun,

Gong

et al. 2023

Medicina

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Background and Objectives: Postoperative pain after lower abdominal surgery is typically severe. Traditionally, in pediatric anesthesia, a caudal block (CB) has been used for pain management in these cases. Nowadays, a transversus abdominis plane block (TAPB) seems to be an effective alternative. However, which technique for perioperative analgesia is better and more effective remains unclear in children who undergo abdominal surgeries. The aim of this study was to compare the efficacy and safety of a TAPB and CB for pain management in children after abdominal surgery by conducting a meta-analysis of published papers in this area. Methods: We conducted a thorough search of PubMed, EMBASE, the Cochrane Library, and the Web of Science for randomized controlled trials (RCTs) that compared a TAPB and CB for pain management in children who had abdominal surgery. Two researchers screened and assessed all the information with RevMan5.3 used for this meta-analysis. Pain scores, the total dose of rescue analgesic given, the mean duration of analgesia, the intraoperative and postoperative hemodynamic conditions 24 h after surgery, and adverse events were compared. Results: 15 RCTs that involved a total of 970 pediatric patients were included in this study. The results of this meta-analysis showed that there were no significant differences between the 2 groups in terms of postoperative pain scores at 1 h (SMD = 0.35; 95% CI = −0.54 to 1.24; p = 0.44, I2 = 94%), 6 h (SMD = −0.10; 95% CI = −0.44 to −0.23; p = 0.55, I2 = 69%), 12 h (SMD = −0.02; 95% CI = −0.45 to −0.40; p = 0.93, I2 = 80%), and 24 h (SMD = −0.66; 95% CI = −1.57 to −0.25; p = 0.15, I2 = 94%); additional analgesic requirement (OR 0.25; 95% CI 0.09 to 0.63; p = 0.004, I2 = 72%); total dose of rescue analgesic given in 24 h (SMD = −0.37; 95% CI = −1.33 to −0.58; p = 0.44; I2 = 97%); mean duration of analgesia (SMD = 1.29; 95% CI = 0.01 to 2.57; p = 0.05, I2 = 98%); parents’ satisfaction (SMD = 0.44; 95% CI = −0.12 to 1.0; p = 0.12; I2 = 80%); and intraoperative and postoperative hemodynamic conditions 24 h after the surgery and adverse events (SMD = 0.78; 95% CI = 0.22 to 2.82; p = 0.70; I2 = 62%). Compared to a CB, a TAPB resulted in a small but significant reduction in additional analgesic requirement after surgery (OR 0.25; 95% CI 0.09 to 0.63; p = 0.004). Conclusions: TAPBs and CBs result in similar efficient early analgesia and safety profiles in children undergoing abdominal surgeries. Moreover, no disparities were observed for adverse effects between TAPBs and CBs.

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Effects of ultrasound guided caudal epidural and transversus abdominis plane block on postoperative analgesia in pediatric inguinal hernia repair surgeries

Cited by 2 publications

References 21 publications

Comparing Efficacy of Regional Analgesia Techniques After Pediatric Inguinal Procedures

Comparing Efficacy of Regional Analgesia Techniques After Pediatric Inguinal Procedures

A Systematic Review and Meta-Analysis Comparing the Effectiveness of Transversus Abdominis Plane Block and Caudal Block for Relief of Postoperative Pain in Children Who Underwent Lower Abdominal Surgeries

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