Improved analgesia with the ilioinguinal block compared to the transversus abdominis plane block after pediatric inguinal surgery: a prospective randomized trial

Fredrickson, Michael J.; Paine, Clinton; Hamill, James

doi:10.1111/j.1460-9592.2010.03432.x

Cited by 101 publications

(91 citation statements)

References 9 publications

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“…Figure 1 showed the flow diagram for the study identification and selection process. After reading and evaluating the titles, abstracts and full texts, 5 studies with 257 children ultimately met our inclusion criteria (21)(22)(23)(24)(25). The characteristics and outcomes of each included studies were summarized in table.…”

Section: Search Resultsmentioning

confidence: 99%

“…Meanwhile, we did not observe the significant difference in the time of first opioid analgesic requirement between TAP block and control group. As the first time of opioid usage are usually at the early stage after surgery (14,21,22,25), we speculated that TAP block cannot fully alleviate the early postoperative pain. However, as the time passed, the analgesia effect of TAP block gradually played a role on the postoperative pain management.…”

Section: Discussionmentioning

confidence: 99%

“…fied Children's Hospital of Eastern Ontario Pain Scale (mCHEOPS) score was ≥5 (24), the consumption of morphine was >200 μg/kg (25) or the numerical pain score (NPS) was >5 (22). After pooling these data, there was significant heterogeneity among the 4 studies (I 2 =83% , P= 0.0004) and the random effect model was appropriate to use.…”

Section: Tap Block Controlmentioning

confidence: 99%

“…Four studies provided data concerning the numbers of children needed postoperative opioid analgesia rescue (22)(23)(24)(25). The study by Carney et al (21) was excluded because all of the children received postoperative opioid analgesia which was not based on the postoperative pain level.…”

Section: Number Of Children Needed Postoperative Opioid Analgesia Rescuementioning

confidence: 99%

“…There were two studies applied visual analogue scale (VAS) to measure the postoperative pain (21,25), and others used FLACC (23), NPS (22) and mCHEOPS (24) as the assessment of pain score. The inconsistency and heterogeneity in the postoperative pain severity precluded quantitative analysis.…”

Section: Postoperative Pain Scorementioning

confidence: 99%

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Transversus Abdominis Plane Block to Alleviate Postoperative Pain in Children: A Meta-Analysis of Randomized Controlled Trials

Li¹,

Li²,

Xing³

et al. 2015

J Anesth Perioper Med

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Background: Transversus abdominis plane (TAP) block has been applied as one of multimodal approaches to alleviate postoperative pain in children. The aim of this meta-analysis was to determine the effect of TAP block on postoperative pain management for children who underwent surgery. Methods: The randomized controlled trials (RCTs) which evaluated the analgesia effect of TAP block in children who underwent surgery were searched on the databases of Medline, Embase, the Cochrane Controlled Trials Register and Google Scholar. The RCTs which compared the analgesic effect of TAP block group with control group (placebo or "no treatment") in children were included. Postoperative opioid consumption (48 hours) was considered as the primary outcomes. The secondary outcomes included the number of children needed postoperative opioid analgesia rescue, the time to first analgesic administration (hours) and pain score. The risk ratios (RR), weighted mean differences (WMDs), and their corresponding 95% con fi dence intervals (95% CIs) were calculated for both dichotomous and continuous outcomes. Results: Five RCT trials with 257 children met our criteria and were included in the analysis. Compared with the control group, TAP block reduced the 48 hours morphine consumption by 0.03 mg/kg (95% CI -0.05 to -0.00, P=0.03, 159 children in 3 RCTs). Besides, the non-signi fi cant reductions were shown in the number of children needed postoperative opioid analgesia rescue (217 children in 4 RCTs) and time to first analgesic administration (hours, 184 children in 3 RCTs). Conclusions: TAP block is one of the safe and effective multimodal-approaches to alleviate postoperative pain in children. Specially, when the TAP block was used, it can significantly reduce the opioid consumption, which may avoid the occurrence of dose-dependent side effects of opioid drugs.

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Section: Search Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Tap Block Controlmentioning

confidence: 99%

Section: Number Of Children Needed Postoperative Opioid Analgesia Rescuementioning

confidence: 99%

Section: Postoperative Pain Scorementioning

confidence: 99%

See 3 more Smart Citations

Transversus Abdominis Plane Block to Alleviate Postoperative Pain in Children: A Meta-Analysis of Randomized Controlled Trials

Li¹,

Li²,

Xing³

et al. 2015

J Anesth Perioper Med

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Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

Byun

Pather

2019

Clinical Anatomy

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In regional anesthesia, accurate knowledge of surface anatomy and landmarks are essential for successful nerve blockades with least possible complications. The longestablished anatomical landmarks used for peripheral nerve blockades in adult patients have also gained a place in pediatric anesthesia. Despite the continuing benefits and need for more effective peripheral techniques in pediatrics, there is a paucity of data on pediatric landmarks, and hence the absence of more appropriate techniques for the different age groups of children. Recent advancement in imaging has shown that there is a greater awareness for the different surface projections at various stages of postnatal development, as compared with that of adults. Thus, if adult landmarks are not appropriately adapted for use in children, complication rates may rise due to injuries to anatomical structures. This review evaluated the existing evidence of the pediatric nerve block landmarks in the reported literature, in order to highlight the limitations in our current understanding of pediatric surface anatomy and landmarks. A literature search was done using five databases to obtain 141 references. Only a few of these studies provided detailed reports of the relations of relevant nerves to anatomical landmarks. A few clinical imaging studies have provided new anatomical landmarks in children with reference to their age-related growth and anatomy. Most landmarks need to be standardized in children of various ages, and furthermore, inconsistencies in the current descriptions of the surface landmarks need to be validated and standardized for use in pediatric clinical practice. Clin. Anat. 32:803-823, 2019.

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Ilioinguinal and Iliohypogastric Nerve Blocks

Tsui

2016

Pediatric Atlas of Ultrasound- And Nerve Stimulation-Guided Regional Anesthesia

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Improved analgesia with the ilioinguinal block compared to the transversus abdominis plane block after pediatric inguinal surgery: a prospective randomized trial

Abstract: Following pediatric inguinal surgery, ilioinguinal block provides more effective analgesia than the TAP block.

Cited by 101 publications

References 9 publications

Transversus Abdominis Plane Block to Alleviate Postoperative Pain in Children: A Meta-Analysis of Randomized Controlled Trials

Transversus Abdominis Plane Block to Alleviate Postoperative Pain in Children: A Meta-Analysis of Randomized Controlled Trials

Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

Ilioinguinal and Iliohypogastric Nerve Blocks

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