Comparison of caudal epidural block with paravertebral block for renal surgeries in pediatric patients: A prospective randomised, blinded clinical trial

Journal of Clinical Anesthesia
Purnima NarasimhanPuneet Khanna

Abstract

This study was undertaken to compare the analgesic efficacy of ultrasound-guided single-shot caudal block with ultrasound-guided single-shot paravertebral block in children undergoing renal surgeries. Randomised, interventional, blinded clinical trial. Operating rooms of All India Institute of Medical Sciences, New Delhi, India. 50 children aged 2-10 years, of ASA status I/II, posted for elective renal surgeries. The children were randomised into two groups (Group C-caudal block, Group P-paravertebral block). After induction of general anesthesia, single-shot caudal or paravertebral block was performed under ultrasound guidance, with 0.2% ropivacaine with 1:200000 adrenaline. Time to first rescue analgesia, time to perform blocks, intraoperative and post-operative hemodynamics, post-operative FLACC scores, incidence of complications, parental satisfaction scores were recorded. Children in Group P had significantly longer duration of analgesia (p < 0.0004) than Group C. Post-operative FLACC scores (p < 0.005) and analgesic requirements (p < 0.0004) were lower in Group P. The mean fentanyl requirement over 24 h in group P was 0.56 ± 0.82 μg/kg, compared to 1.8 ± 1.2 μg/kg in group C. Parents in Group P reported greater satisfacti...Continue Reading

References

Nov 1, 1995·British Journal of Anaesthesia·K PerttunenE Kalso
May 1, 1994·Acta Anaesthesiologica Scandinavica·P A Lönnqvist, G L Olsson
May 17, 2008·Paediatric Anaesthesia·Emil BertaPer-Arne Lönnqvist
Jan 12, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·William M Splinter, Margaret E Thomson
Oct 6, 2011·Anaesthesia and Intensive Care·R TugY Güneş
Feb 1, 2013·Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology·Züleyha Kazak BengisunAhmet Hakan Haliloğlu
Mar 29, 2014·Paediatric Anaesthesia·David LeesSeyed Ali Mirjalili

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