Ilioinguinal Nerve Blockade for Analgesia After Caesarean Section

Abstract

Bilateral ilioinguinal nerve blockade was performed, using 0.5% plain bupivacaine 10 ml to each side, in 13 patients having elective Caesarean section under general anaesthesia. Pain scores and requirement for postoperative analgesia were compared with 13 patients in a control group. Pain scores were less in the block patients at all times during the first day after operation, with the exception of 12 h. There was an increased time from the patient's recovery from anaesthesia to the first injection of opioid in the block group. In the control group, patients required more analgesia in the first 24 h after surgery compared with patients having ilioinguinal nerve blockade. There were no observed adverse effects following nerve blocks.

Analgesic Efficacy of Bilateral Ilioinguinal and Iliohypogastric Nerve Block for Post Caesarean Delivery Under Spinal Anaesthesia, 2016. Double blind randomized Study

“…Moreover, our finding was also consistent with a study conducted by Bunting et al Bell et al and Ganta et al, where the mean VAS score was low in those who received II-IH block compared with the placebo group in parturients underwent caesarean delivery [12,22]. In addition, in another study, VAS pain scores were decreased both at rest and upon coughing in block group compared to the placebo group [3].…”

“…A previous study revealed a good analgesic effect of II-IH nerve block for parturients undergoing cesarean delivery under spinal [3,19,20] or general anaesthesia [2,12,21]. In our study, the pain was assessed using numeric rating scale and additional tramadol on request was given when the NRS ≥ 4.…”

“…It is believed that ultrasound guidance could improve the certainty and safety of the block by confirming the position of the needle. However, the merits of landmark technique using "double pop" method regarding safety and certainty have been reported [2,3,12,27]. However; ultrasound guidance for regional anesthesia has not been decisively established to improve safety [28,29].…”

“…The practice of regional nerve block techniques by health professionals for postoperative pain management is rising, and demonstrated a decrease requirement of supplementary analgesia [12,13] Moreover, abdominal field nerve blocks as part of multimodal analgesia with parenteral analgesics are becoming popular for postoperative pain management after caesarean delivery [5,14,15]. Furthermore, ilioinguinal and iliohypogastric (II-IH) nerve blocks are widely practiced for the treatment of postoperative pain after caesarean delivery [2] and for analgesia for different age groups of patients undergoing hernia repair [16,17].…”

Sonographically Guided Ilioinguinal Nerve Block

“…n ilioinguinal nerve block (IINB) is a simple and useful regional anesthesia technique for intraoperative and postoperative analgesia for inguinal surgery. [1][2][3] This technique has proved to be superior and cost-effective in comparison with both subarachnoid and general anesthesia. 4 A carefully performed blockade may also be helpful in the differential diagnosis of chronic inguinal and lower abdominal pain.…”