TO COMPARE THE EFFECT OF PAIN RELIEF POSTOPERATION IN PEDIATRIC INGUINAL HERNIA SURGERY BETWEEN ILIOINGUINAL/ILIOHYPOGASTRIC NERVES BLOCK TO CAUDAL BLOCK

Phạm Quang Minh1,, Hoàng Thị Hà2, Lưu Quang Thùy3, Vũ Hoàng Phương1
1 Department of Anesthesia and Critical Care, Hanoi Medical University
2 Hung Yen General Hospital
3 Vietnam-Germany Friendship Hospital

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Abstract

A randomized controlled clinical trial of 60 pediatric patients undergoing inguinal hernia surgery. The patients were given routine laryngeal mask anesthesia, then were divided into 2 groups: Group I: the patients were given analgesia by caudal block based on anatomical landmarks with levobupivacaine 0.2%, 0.8ml/kg. Group II: the patients was given analgesia by ilioinguinal/iliohypogastric nerves block under ultrasound guidance with levobupivacaine 0.2%, 0.3ml/kg. Quality of numbness according to Gunter score: attending at a good level were 90% for group I and 86.7% for group II; pain relief time after surgery in group I was 324 minutes, group II was 312 minutes, the difference between the two groups was not statistically significant with p > 0.05. Immediately after awakening, 100% of patients in group II were able to move their legs at the level of M0. 30 minutes after awakening, 2 patients in group I (6.7%) had not fully recovered. The side effects of the 2 groups were low and not dangerous. Conclusion: The ilioinguinal/iliohypogastric nerve blocks group had good postoperative analgesia similar to that of the caudal block group, the recovery time was shorter, and the amount of anesthetic drug used was lower.

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References

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