Ultrasound-guided transversus abdominis plane block versus caudal block for postoperative analgesia in children undergoing unilateral open inguinal herniotomy : a comparative study
المؤلفون المشاركون
Rayyan, Ayman A.
Ahmad, Ashraf A.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 9، العدد 2 (30 يونيو/حزيران 2016)، ص ص. 284-289، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2016-06-30
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background Ultrasound (US)-guided transversus abdominis plane (TAP) block is an effective technique in providing analgesia for abdominal surgery.
This study was designed to evaluate the effi cacy of a US-guided TAP block and to compare it with a caudal block in unilateral day-case open inguinal hernia repair in children.
Patients and Methods Forty ASA I–II, 1–5-year-old children scheduled for elective unilateral open inguinal herniotomy were studied.
All patients received general anesthesia; sevofl urane was used for induction and maintenance of anesthesia and laryngeal mask airway ( LMA) was used to secure the airway.
After securing an intravenous cannula, patients were randomized to a US-guided TAP block (n = 20) (group T) using 0.5 ml/kg 0.25 % bupivacaine, injected on the same side of surgery, and group C received a caudal block using 1 ml/kg 0.2 % bupivacaine (n = 20).
Surgery was allowed 15 min after administration the block.
Block failure was considered in case of gross movement or more than 20 % change in heart rate and/or ABP persisting more than 1 min after skin incision.
Any adverse events were recorded.
After surgery, patients remained for 4 h in the recovery room.
Postoperative analgesia was evaluated using Children and Infants Postoperative Pain Scale (CHIPPS).
An anesthesiologist, who was not part of the study team, evaluated the need for rescue analgesia in the intraoperative and postoperative period and a recovery nurse collected the data.
If the CHIPPS score was greater than 4, a rescue analgesia of 20 mg/kg acetaminophen was administered.
Results No difference was found in hemodynamics in both groups.
Also, intraoperative fentanyl consumption was not different and no rescue analgesia was required in the postanesthesia care unit.
Conclusion A US-guided TAP block is as effective as a caudal block in providing immediate postoperative analgesia in inguinal hernia repair
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ahmad, Ashraf A.& Rayyan, Ayman A.. 2016. Ultrasound-guided transversus abdominis plane block versus caudal block for postoperative analgesia in children undergoing unilateral open inguinal herniotomy : a comparative study. Ain Shams Journal of Anesthesiology،Vol. 9, no. 2, pp.284-289.
https://search.emarefa.net/detail/BIM-688389
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ahmad, Ashraf A.& Rayyan, Ayman A.. Ultrasound-guided transversus abdominis plane block versus caudal block for postoperative analgesia in children undergoing unilateral open inguinal herniotomy : a comparative study. Ain Shams Journal of Anesthesiology Vol. 9, no. 2 (Apr. / Jun. 2016), pp.284-289.
https://search.emarefa.net/detail/BIM-688389
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ahmad, Ashraf A.& Rayyan, Ayman A.. Ultrasound-guided transversus abdominis plane block versus caudal block for postoperative analgesia in children undergoing unilateral open inguinal herniotomy : a comparative study. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 2, pp.284-289.
https://search.emarefa.net/detail/BIM-688389
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 288-289
رقم السجل
BIM-688389
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر