Effect of needle insertion site on ilioinguinal-iliohypogastric nerve block in children

Acta Anaesthesiologica Scandinavica
P KundraM Ravishankar

Abstract

Three different sites of needle insertion have been proposed for ilioinguinal-iliohypogastric (ILIH) nerve block. This double-blind study was designed to assess the quality of analgesia produced from these different sites. One hundred and thirty-two children of ASA grade I and II were randomly allocated into four groups to receive no nerve block (control group, n = 30) or ILIH block at 1 cm inferio-medial to the anterior superior iliac spine (ASIS) in group IM (n = 34), 1-2 cm medial to the ASIS in group M (n = 34) and 2 cm superio-medial to the ASIS in group SM (n = 34) with 0.25 ml/kg of 0.25% bupivacaine after induction of anaesthesia. Pain was assessed using the All India Institute of Medical Sciences (AIIMS) pain discomfort scale (APDS) score. The amount and pattern of fentanyl consumed over the ensuing 24-h period was noted. APDS score and fentanyl requirement were similar in all the study groups but significantly higher until 8 h after surgery in the control group, P < 0.05. Twenty-two out of 102 children in the study groups and all patients in the control group received additional fentanyl during the post-operative period. Only 6 out of 22 children required additional fentanyl supplementation beyond the 30-min interval....Continue Reading

References

Aug 1, 1980·Journal of Pediatric Surgery·B Shandling, D J Steward
Mar 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·W M SplinterL Komocar
Jul 14, 1998·Anesthesia and Analgesia·P KundraM Ravishankar
Jan 8, 2004·American Journal of Obstetrics and Gynecology·James L WhitesideTommaso Falcone

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Citations

Mar 23, 2010·Regional Anesthesia and Pain Medicine·Ban C H Tsui, Jennifer J Pillay
Nov 10, 2006·Current Opinion in Anaesthesiology·Per-Arne Lonnqvist, Neil S Morton
Feb 2, 2011·Annales Françaises D'anesthèsie Et De Rèanimation·H Beloeil, P J Zetlaoui
May 8, 2013·Paediatric Anaesthesia·Pankaj Kundra, Kotteeswaran Yuvaraj
Jan 14, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinJeffrey Gadsden
May 16, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Sarang Byun, Nalini Pather

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