The aim of this work was to assess stress response and hemodynamic changes associated with intrathecal anesthesia versus caudal epidural anesthesia in infants undergoing laparoscopic inguinal herniorrhaphy.
Inguinal hernia repair is the most frequent surgical procedure in early childhood. Various regional anesthetic techniques have been employed to provide optimum intraoperative and postoperative pain control after this procedure. Introduced decades ago, the use of intrathecal (spinal) anesthesia and caudal block in procedures for different types of laparoscopic abdominal surgery is safe and efficient. Caudal block is now frequently used in intraoperative and postoperative analgesia for pediatric surgery. In infants and children, central neuraxial block is an important modality for acute postoperative analgesia in addition to combined anesthesia, the goals of postoperative analgesia in children are pain eradication, expedient recovery to daily activities, and prevention of progression of acute postsurgical pain to chronic pain or hyperalgesia
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
120
Patients received general anesthesia
Patients received intrathecal Anesthesia
Patients received caudal epidural anesthesia.
Tanta University
Tanta, El-Gharbia, Egypt
Serum glucose level
Serum glucose level was recorded pre-operative and just postoperative and 6, 12, and 24h postoperatively.
Time frame: 24 hours postoperatively
Serum cortisol level
Serum cortisol level was recorded pre-operative and just postoperative and 6, 12, and 24h postoperatively.
Time frame: 24 hours postoperatively
Heart rate
Heart rate was recorded at baseline, after induction, then every 15 minutes till the end of surgery.
Time frame: Till the end of surgery (Up to 1 hour)
Mean arterial pressure
Mean arterial pressure was recorded at baseline, after induction, then every 15 minutes till the end of surgery.
Time frame: Till the end of surgery (Up to 1 hour)
Intraoperative anesthetic consumption
Intraoperative anesthetic consumption of sevoflurane was recorded.
Time frame: Intraoperatively
Total analgesics consumption
Intravenous Tramadol 1 mg/kg is administered intravenously in the event that the Face, Legs, Activity, Cry, Consolability (FLACC) score exceeds 4 within the first 24 hours following surgery.
Time frame: 24 hours postoperatively
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.