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Information Journal Paper

Title

ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUSILIOINGUINAL/ILIOHYPOGASTRIC BLOCK IN INTRAOPERATIVE ANESTHESIA ANDANALGESIA IN PEDIATRIC PATIENTS: A RANDOMIZED CONTROLLED STUDY

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Abstract

 Background: Regional techniques both reduce opioid requirements and provide quality pain control in patients, especially inpediatrics. Objectives: The aim of this study was to compare the contributions of ilioinguinal/iliohypogastric (II/IH) BLOCK and transversusabdominis plane (TAP) BLOCK combined with sedation to intraoperative ANESTHESIA and ANALGESIA in PEDIATRIC SURGERY. Methods: In this randomized controlled study, 100 patients aged 2-6 years were enrolled and divided into five groups: TAP BLOCKwith ketamine; II/IH BLOCK with ketamine; TAP BLOCK with Sevoflurane; II/IH BLOCK with Sevoflurane; and the control group withSevoflurane alone. Hemodynamics (mean arterial pressure (MAP) and heart rate (HR)), depth of ANESTHESIA, Sevoflurane usage, painscore, number of children who needed ANALGESIA, and the time to start rescue ANALGESIA of all patients were recorded. Results: There was no significant difference between the study groups, in HR and MAP during operations (P > 0. 05). The amountof Sevoflurane used in the group supported with both BLOCKs decreased significantly compared to the control group (P < 0. 001). Inthe groups where the BLOCK was added until the 6th hour in the postoperative period, there were lower HR and MAP (P < 0. 05). Painscores were high in the first six hours in the control group (P < 0. 05). There was a longer duration of ANALGESIA in the ketamine + TAPgroup and the Ketamine + II/IH BLOCK group (P < 0. 001) in comparison to others. A higher analgesic need was found in the controlgroup (P < 0. 05). Conclusions: This study revealed that TRANSVERSUS ABDOMINIS PLANE or ilioinguinal/iliohypogastric regional BLOCKs could have sameintraoperative/ postoperative effects regarding hemodynamics and intraoperative ANALGESIA in lower abdominal PEDIATRIC SURGERY. ANESTHESIA can be maintained using sedative medicines only.

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    APA: Copy

    KUPELI, ILKE, & SALCAN, SARA. (2018). ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUSILIOINGUINAL/ILIOHYPOGASTRIC BLOCK IN INTRAOPERATIVE ANESTHESIA ANDANALGESIA IN PEDIATRIC PATIENTS: A RANDOMIZED CONTROLLED STUDY. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 20(4), 0-0. SID. https://sid.ir/paper/293721/en

    Vancouver: Copy

    KUPELI ILKE, SALCAN SARA. ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUSILIOINGUINAL/ILIOHYPOGASTRIC BLOCK IN INTRAOPERATIVE ANESTHESIA ANDANALGESIA IN PEDIATRIC PATIENTS: A RANDOMIZED CONTROLLED STUDY. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2018;20(4):0-0. Available from: https://sid.ir/paper/293721/en

    IEEE: Copy

    ILKE KUPELI, and SARA SALCAN, “ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUSILIOINGUINAL/ILIOHYPOGASTRIC BLOCK IN INTRAOPERATIVE ANESTHESIA ANDANALGESIA IN PEDIATRIC PATIENTS: A RANDOMIZED CONTROLLED STUDY,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 20, no. 4, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/293721/en

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