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Comparative Evaluation of Combined Ilioinguinal Iliohypogastric Block Versus Caudal Block using Ropivacaine and Clonidine for Paediatric Postoperative Analgesia Following Inguinal Hernia Repair


Affiliations
1 Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India
2 Department of Paediatric Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India

Background: Inguinal hernia repair is a commonly performed surgery in children. Various regional techniques have been used for postoperative analgesia however the duration of analgesia is limited by local anesthetics. Objectives: To compare the postoperative analgesia and complications of combined ilioinguinal iliohypogastric block versus caudal block following inguinal hernia repair surgery in children using 0.2% ropivacaine and clonidine (1 μg/kg). Methods: Forty children of age one month to three years undergoing inguinal hernia repair were randomly allocated to two Group C (receiving Caudal block) and group I (receiving combined ilioinguinal iliohypogastric block). Ropivacaine 0.2% and clonidine1 μg/kg used. Patients were evaluated for pain postoperatively at 30 minutes, 1, 1 ½, 2, 4, 8, 12 and 24 hours. Results: Both techniques were effective for postoperative analgesia following hernia repair in children for 24 hours postoperatively. Conclusion: Both combined Ilioinguinal iliohypogastric and caudal block were effective for postoperative analgesia for 24 hours using ropivacaine 0.2% and clonidine 1 μg/kg following inguinal hernia repair in children and no complications were seen in any of the two blocks.

Keywords

Caudal, Clonidine, Ilioinguinal Iliohypogastric, Paediatric Analgesia, Ropivacaine.
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  • Comparative Evaluation of Combined Ilioinguinal Iliohypogastric Block Versus Caudal Block using Ropivacaine and Clonidine for Paediatric Postoperative Analgesia Following Inguinal Hernia Repair

Abstract Views: 484  |  PDF Views: 185

Authors

Sadhana Saini Sapra
Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India
Kirti Nath Saxena
Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India
Bharti Taneja
Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India
Shikha Bansal
Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India
Yogesh Kumar Sarin
Department of Paediatric Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India

Abstract


Background: Inguinal hernia repair is a commonly performed surgery in children. Various regional techniques have been used for postoperative analgesia however the duration of analgesia is limited by local anesthetics. Objectives: To compare the postoperative analgesia and complications of combined ilioinguinal iliohypogastric block versus caudal block following inguinal hernia repair surgery in children using 0.2% ropivacaine and clonidine (1 μg/kg). Methods: Forty children of age one month to three years undergoing inguinal hernia repair were randomly allocated to two Group C (receiving Caudal block) and group I (receiving combined ilioinguinal iliohypogastric block). Ropivacaine 0.2% and clonidine1 μg/kg used. Patients were evaluated for pain postoperatively at 30 minutes, 1, 1 ½, 2, 4, 8, 12 and 24 hours. Results: Both techniques were effective for postoperative analgesia following hernia repair in children for 24 hours postoperatively. Conclusion: Both combined Ilioinguinal iliohypogastric and caudal block were effective for postoperative analgesia for 24 hours using ropivacaine 0.2% and clonidine 1 μg/kg following inguinal hernia repair in children and no complications were seen in any of the two blocks.

Keywords


Caudal, Clonidine, Ilioinguinal Iliohypogastric, Paediatric Analgesia, Ropivacaine.

References