Evaluation of Anesthesia Profile in Pediatric Patients after Inguinal Hernia Repair with Caudal Block or Local Wound Infiltration

  • Aleksandra Gavrilovska-Brzanov University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Biljana Kuzmanovska University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Andrijan Kartalov University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Ljupco Donev University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Albert Lleshi University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Marija Jovanovski-Srceva University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Tatjana Spirovska University Clinic of Surgery, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Nikola Brzanov University Clinic of Surgery, ER Department, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Risto Simeonov University Clinic for Pediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Keywords: Caudal block, Local wound infiltration, Pediatric analgesia, Hernia Inguinalis, Buivacaine

Abstract

AIM: The aim of this study is to evaluate anesthesia and recovery profile in pediatric patients after inguinal hernia repair with caudal block or local wound infiltration.

MATERIAL AND METHODS: In this prospective interventional clinical study, the anesthesia and recovery profile was assessed in sixty pediatric patients undergoing inguinal hernia repair. Enrolled children were randomly assigned to either Group Caudal or Group Local infiltration. For caudal blocks, Caudal Group received 1 ml/kg of 0.25% bupivacaine; Local Infiltration Group received 0.2 ml/kg 0.25% bupivacaine. Investigator who was blinded to group allocation provided postoperative care and assessments. Postoperative pain was assessed. Motor functions and sedation were assessed as well.

RESULTS: The two groups did not differ in terms of patient characteristic data and surgical profiles and there weren’t any hemodynamic changes between groups. Regarding the difference between groups for analgesic requirement there were two major points - on one hand it was statistically significant p < 0.05 whereas on the other hand time to first analgesic administration was not statistically significant p = 0.40. There were significant differences in the incidence of adverse effects in caudal and local group including: vomiting, delirium and urinary retention.

CONCLUSIONS: Between children undergoing inguinal hernia repair, local wound infiltration insures safety and satisfactory analgesia for surgery. Compared to caudal block it is not overwhelming. Caudal block provides longer analgesia, however complications are rather common.

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Published
2016-02-03
How to Cite
1.
Gavrilovska-Brzanov A, Kuzmanovska B, Kartalov A, Donev L, Lleshi A, Jovanovski-Srceva M, Spirovska T, Brzanov N, Simeonov R. Evaluation of Anesthesia Profile in Pediatric Patients after Inguinal Hernia Repair with Caudal Block or Local Wound Infiltration. Open Access Maced J Med Sci [Internet]. 2016Feb.3 [cited 2020Dec.5];4(1):89-3. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2016.023
Section
B - Clinical Sciences

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