Abstract | BACKGROUND: MATERIALS AND METHODS: After local ethics committee approval and written parental consent, 67 ASA class I - II patients aged between 2-7 years old scheduled for elective inguinal hernia repair were allocated randomly into two groups after general anesthesia with same drugs in both groups. Group C received caudal block with 1 ml/kg bupivacaine 0.25% combined with 1 μg/kg clonidine, and group I received ilioinguinal- iliohypogastric nerve block with 0.3 ml /kg bupivacaine 0.25% combined with 1 μg/kg clonidine. Blood pressure and heart rate were documented every 5 minutes. Post-operative analgesia, analgesic use and side-effects were assessed during first 24 hours. RESULTS: In group C, 7 / 34 and in group I, 12/33 patients required post-operative analgesia (P = 0.174). Five patients (15.5%) in group I and one patient (2.94%) in group C had severe pain after operation. Systolic and diastolic blood pressure decreased during operation, but the differences between two groups were not significant (P = 0.176, P = 0.111). Heart rate changes between two groups were insignificant (P = 0.182). CONCLUSION: It seems that in children, caudal epidural block and ilioinguinal - iliohypogastric nerve block using bupivacaine- clonidine have comparable effects on analgesia, severity of pain and hemodynamic changes during and after surgery on inguinal region.
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Authors | Mahin Seyedhejazi, Daryoush Sheikhzadeh, Zahra Adrang, Fahime Kazemi Rashed |
Journal | African journal of paediatric surgery : AJPS
(Afr J Paediatr Surg)
2014 Apr-Jun
Vol. 11
Issue 2
Pg. 166-9
ISSN: 0974-5998 [Electronic] India |
PMID | 24841020
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Anesthetics, Local
- Clonidine
- Bupivacaine
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Topics |
- Anesthesia, Caudal
(methods)
- Anesthetics, Local
(administration & dosage)
- Bupivacaine
(administration & dosage)
- Child
- Child, Preschool
- Clonidine
(administration & dosage)
- Double-Blind Method
- Follow-Up Studies
- Hernia, Inguinal
(diagnosis, surgery)
- Herniorrhaphy
(adverse effects, methods)
- Humans
- Hypogastric Plexus
(drug effects)
- Male
- Nerve Block
(methods)
- Pain Measurement
- Pain, Postoperative
(prevention & control)
- Preoperative Care
(methods)
- Risk Assessment
- Treatment Outcome
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