Ultrasonography-guided ilioinguinal-iliohypogastric nerve block for inguinal herniotomies in ex-premature neonates

Lee, S.Y.; Tan, Josephine Swee Kim

doi:10.11622/smedj.2013230

Cited by 5 publications

(2 citation statements)

References 8 publications

(9 reference statements)

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“…[17] Besides it has limitations in usage in newborns and infants, because higher local anesthetic doses are required. [18] But controlled trials proved this type of regional block to provide enough and successful analgesia in especially inguinal blocks, where postoperative hospital stay and nauseavomiting decreased. [19] Transversus-abdominis-plane block is a simple, safe, efficient and alternative regional anesthesia type for postoperative analgesia in abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Regional anesthesia for pediatrics

Türk¹,

Işıl²,

Açık³

et al. 2015

FNG & Bilim Tıp Dergisi

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ÖZAmaç: Rejyonel tekniklerin genel anesteziyi tamamlayıcı bir yöntem olarak düşünülmesi, bilinci ve solunumu etkilemeden ameliyat sonrası analjezi sağlaması, teknik güçlüklerin aşılması, yeni lokal anesteziklerin gelişimi pediatrik hastalarda rejyonel anesteziye ilgiyi artırmıştır. Bu nedenle pediatrik cerrahi geçiren ve rejyonel anestezi uygulanan hastalarımızın verilerini sunduk. Hastalar ve yöntemler: 1.01.2012-31.12.2012 tarihleri arasında hastanemiz çocuk cerrahisi kliniğinde ameliyat edilen ve rejyonel anestezi uygulanan tüm hastaların verileri geriye dönük incelendi. Toplam ameliyat ve rejyonel anestezi sayısı, demografik verileri, rejyonel anestezi teknikleri, destekleyici sedatif ve genel anestezi gereksinimleri, anestezi için kullanılan ajanları, tanıları ve komplikasyonları kaydedildi. Bulgular: 2012 yılında çocuk cerrahisi kliniğinde 2116 hasta ameliyat edildi, 1196 hastaya (713 erkek, 483 kız, ort yaş 5.9±4.3 yıl; dağılım 2 gün-17 yıl) rejyonel anestezi uygulandı. 718 hastaya kaudal blok, 218 hastaya epidural anestezi, 189 hastaya ultrasonografi (USG)-güdümlü transversusabdominis-düzlem (TAP) blok, 52 hastaya USG-güdümlü ilioinguinal-iliohipogastrik blok, 19 hastaya spinal anestezi uygulandı. Kaudal blok, epidural anestezi, TAP blok, ilioinguinal-iliohipogastrik blok ve spinal anestezi uygulanan hastaların yaş ortalaması sırasıyla 3.1±2.3, 5.4±3.1, 3.6±2.8, 4.4±2.6 ve 6.5±7.9 yıl idi. 868 hastada %0.25'lik levobupivakain, 309 hastada %0.25'lik bupivakain, 19 olguda %0.5'lik ağır bupivakain kullanıldı. Spinal anestezi uygulanan hastalarda midozolam veya propofol ile sedasyon uygulanmıştı diğer tüm hastalarda genel anestezi uygulanmıştı. 981 hastaya larengeal maske takıldı ve 196 hasta orotrakeal entübe edildi. Ultrasonografi-güdümlü ilioinguinal-iliohipogastrik blok yapılan bir hastada hematom gelişmesi dışında komplikasyonla karşılaşılmadı. Sonuç: Çocuk hastalarda da ameliyat sonrası ağrının engellenmesinin önemi unutulmamalı, bu amaçla rejyonel tekniklerden faydalanılmalıdır. Pediatrik olguların anatomik, fizyolojik, farmakolojik farklılıkları bilinerek güvenle rejyonel anestezi uygulanabilir. Anahtar sözcükler: Pediatrik; ameliyat sonrası analjezi; rejyonel anestezi. ABSTRACTObjectives: Relevancy to regional anesthesia in pediatrics has increased, because it is complementary to general anesthesia, allows conscious postoperative analgesia without respiratory depression, technical difficulties have been defeated and new local anesthetics have been improved. Therefore we reported data of patients who underwent pediatric surgery and received regional anesthesia. Patients and methods:We retrospectively analyzed data of all patients, who were operated in the pediatric surgery clinic of our hospital during the time period from 1.01.2012-31.12.2012 and therefore received regional anesthesia. Total amount of operations and regional anesthesia, demographic variables, regional anesthesia techniques, supportive sedatives and general anesthesia requirements, agents used for anesthesia, diagnoses and complicatio...

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Section: Discussionmentioning

confidence: 99%

Regional anesthesia for pediatrics

Türk¹,

Işıl²,

Açık³

et al. 2015

FNG & Bilim Tıp Dergisi

View full text Add to dashboard Cite

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“…In recent years, it has been reported that iliohypogastric nerve block and human body inguinal nerve block combined with general anesthesia are ideal anesthesia methods for pediatric inguinal surgery. However, the traditional iliac nerve block is mainly performed by body surface positioning puncture, and there are certain risks in the process of puncture ( 19 , 20 ). At present, ultrasound technology has been introduced into pediatric anesthesia in foreign countries, and the effect has been unanimously recognized.…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta-analysis of the effect of nerve block under ultrasound in ilioinguinal/iliohypogastric in children

Chen¹,

Song²,

Zheng³

et al. 2022

Transl Pediatr

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Background: Ilioinguinal/iliohypogastric nerve block (IINB) is a common operation in pediatric surgery. Nerve block under contrast-enhanced ultrasound (CEUS) has the advantages of visualization and noninvasiveness, which creates conditions for its application in nerve block. It can significantly improve the success rate of nerve block and reduce the complications of nerve block. At present, few studies in China have analyzed the effect of nerve block guided by ultrasound technology compared with ordinary treatment.Methods: With "ilioinguinal/iliohypogastric nerve block", "ultrasonic examination of the children", and "ultrasonography for ilioinguinal/iliohypogastric" as the keywords, the related literature published before 2022 was searched. RevMan 5.3 and Stata provided by the Cochrane Collaboration were employed for analysis and evaluation. Begg's risk of bias was utilized to assess the risk bias of the included references.Heterogeneity among studies was evaluated using the Q test and heterogeneity (I 2 ).Results: Six studies were included, with a total of 391 cases. The overall risk (OR) of ilioinguinal/ iliosubabdominal complications in children treated with nerve block after ultrasound examination was 0.49, and the complications of ilioventral/iliosubabdominal complications in children treated with nerve block after ultrasound examination were reduced. The OR of inhibiting pain events was 0.35, and the ilioinguinal/ iliosubabdominal pain events were reduced after nerve block treatment by ultrasound examination. The OR of inhibiting adverse reactions was 0.45. After ultrasound examination, the adverse reactions of ilioinguinal/ iliosubabdominal nerve block treatment were reduced, and there was no heterogeneity among the study groups (I 2 =0.00%). Conclusions:The results of the meta-analysis confirmed that the complications of nerve block treatment after ultrasound examination were less than those of ordinary treatment. The incidence of pain events and adverse reactions in nerve block treatment were reduced after ultrasonography. Moreover, in terms of pain events, the effect of ultrasound guidance was significant. In short, in clinical studies, CEUS can be used to accurately evaluate complex situations and provide a more accurate reference for subsequent treatment.

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