Shiraz E-Medical Journal
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.
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.
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).
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.
© 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.
Omara AF, Elzohry AA, Abdelrahman AF. Comparison of Caudal Block and Dexmedetomidine Infusion in Pediatric Patients Undergoing Hypospadias Repair Surgery: A Prospective, Randomized, Double-blinded Clinical Study. Anesth Pain Med. 2023;13(1):e130623. doi: https://doi.org/10.5812/aapm-130623
Ismail AA, Mohamed Hamza H, Ali Gado A. Efficacy of Dexmedetomidine Versus Morphine as an Adjunct to Bupivacaine in Caudal Anesthesia for Pediatric Thoracic Surgeries: A Randomized Controlled Trial. Anesth Pain Med. 2021;11(2):e112296. doi: https://doi.org/10.5812/aapm.112296
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Davies K, Wilson G, Engelhardt T. Caudal Additives Do Not Improve the Analgesia Afforded by Levobupivacaine After Hypospadias Repair. Anesth Pain Med. 2012;1(3):174-177. doi: https://doi.org/10.5812/kowsar.22287523.2629
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