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首页> 外文期刊>International Journal of Research in Medical Sciences >Comparison between caudal epidural block and popliteal nerve block for postoperative analgesia in children undergoing foot surgery: a randomized controlled trial
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Comparison between caudal epidural block and popliteal nerve block for postoperative analgesia in children undergoing foot surgery: a randomized controlled trial

机译：牙科术后儿童术后镇痛与Popliteal神经阻滞的比较：随机对照试验

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Background: Pain following surgery in children cause discomfort, restlessness and agitation in the postoperative period which may result in an increased incidence of nausea, vomiting and maladaptive behavioural changes. Regional anaesthesia is commonly used as an adjunct to general anaesthesia for perioperative analgesia in children as part of a multimodal approach of pain relief. This study is to compare between caudal epidural block and popliteal nerve block for postoperative analgesia in children undergoing foot surgery. Methods: A prospective randomized single blind study was carried out on 30 children aged 1-12 years of either sex undergoing foot surgery. Patients were randomly assigned into caudal epidural block group and Popliteal nerve block group, 15 children each. Both groups receive 1 ml/kg of 0.25% bupivacaine. Foot surgery was carried out under general anesthesia along with regional block for all children. After completion of surgery, children were shifted to PACU and HR, BP, SPO2 were monitored. Patient was discharged from PACU after CHEOPS (1-5 years) or VAS (6-12 years) 4. Parental satisfaction, sedation score, PONV, and any other side effects were recorded. Results: Demographic data and baseline vital signs were comparable between two groups. Statistically significant difference (p=0.025) in number of attempts in giving block in group A (1.20±0.41) than group B (1.80±0.86). The mean postoperative pain scores, CHEOPS and VAS were comparable in both groups. Conclusions: Both caudal epidural block and popliteal nerve block provides comparable and adequate analgesia in children undergoing elective foot surgery.
机译：背景：儿童手术后的疼痛会导致术后期间的不适，躁动和搅动，这可能导致恶心发病率增加，呕吐和不良行为发生变化。区域麻醉通常用作儿童围手术期镇痛的全身麻醉通风的辅助，作为疼痛缓解的多式联算方法的一部分。该研究是在幼儿手术中术后镇痛的尾部硬膜外块和Popliteal神经阻滞之间进行比较。方法：对前期脚下手术2-12岁的30岁儿童进行了一项预期随机单盲研究。患者随机分配到尾状硬膜外块组和Popliteal神经块组，每组15名儿童。两组接受1ml / kg 0.25％的布比卡酸。在全身麻醉下进行脚手术以及所有孩子的区域块。完成手术后，儿童转移到PACU，HR，BP，SPO2被监测。患者从CHEOPS（1-5岁）或VAS（6-12岁）<4后从PACU排出。父母满意度，镇静评分，庞大和任何其他副作用都被记录出来。结果：人口统计数据和基线生命体征在两组之间相当。在B组（1.20±0.41）的嵌段（1.20±0.41）的试图中的统计学显着差异（p = 0.025）（1.80±0.41）（1.80±0.86）。两组的平均术后疼痛评分，CHOPS和VAS可相当。结论：尾部硬膜外块和Popliteal神经障碍在接受选修脚手术的儿童提供可比和充足的镇痛。

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