Abstract
Background:
Caudal block offers a good and safe postoperative analgesia in pediatric patients. In a randomized study we have examined the characteristics and mean duration of analgesia after caudal anesthesia performed with two different routes: trans-sacral and trans-sacral hiatus.Methods:
Forty boys in Ali-Ebne-Abitaleb Hospital of Zahedan undergoing hyspospadias repair were randomly allocated in two groups to receive bupivacaine 1.5mg/kg from sacral route in one group and from sacral hiatus route in the control group. Postoperative pain and sedation scores were assessed for 12 hr after operation.Results:
The time of first requiring of additional analgesia did not differ significantly between two groups (36540 min in sacral group vs 39035 min in trans-sacral-hiatus group) (P value=0.17). Side effects were not seen in any patients. Two groups were comparable with regards pain scores and sedation scores at 1 and 7h (P > 0.05).Conclusion:
We concluded that the trans-sacral route is an acceptable, safe and easy method for performing caudal block, but total duration of analgesia did not differ with these two methods.Keywords
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© 2008, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.