The risk of bacteremia from enteric pathogens following air enema for reduction of intussusception in children appears to be low.

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Methods 40 parturients undergoing caesarian section with ASA grade I,II & III were included.This is a prospective randomised singleblinded study.thepatients are divided into two groups. Group I and GroupQ. Group I received 20 ml of 0.125%Bupivacaine deposited IL-IH TAPplane .GroupQ received 20 ml of same drug deposited in TRANS MUSCU-LAR QL plane on both sides.An observer blinded to the block given records the VAS sores, first rescue analgesic dose &total analgesic consumption. We also observed the time taken to perform block and ease of identifying sonoanatomy Results GROUP Q had similar VAS scores compared to GROUP I at 12 hrs. DYNAMIC VAS scores are less in GROUP Q. GROUP I received rescue analgesic after 16 hrs GROUP Q received rescue analgesic after 18 hrs.Time taken to perform block was much lower in GROUP I compared to GROUP Q Conclusions We conclude that USguided TRANS MUSCULAR QL block provide superior analgesia compared to IL-IH TAP PLANE block.But time taken to perform block is more and there is difficulty in identifying sono anatomy comparedto IL-IH TAP PLANE.

Conclusions Although SBYB is performed routinely, we found scope to improve documentation and ensure better adherence to national guidance. Following departmental teaching, we placed SBYB posters throughout, created specific RA procedure trays, and created reminders on our online documentation. These changes were reflected in our locally created protocol. Currently, we seek to improve SSM through liaison with our surgical colleagues, and increasing the vigilance of theatre staff undertaking appropriate checks.