Application of Ultrasound-Guided Ilioinguinal/Iliohypogastric Nerve Block in Pediatric Same-Day Surgery

Abstract

The aim of this study was to evaluate the safety and efficacy of ultrasound-guided ilioinguinal/iliohypogastric nerve block (IINB) in pediatric patients undergoing sameday inguinal region surgery. Ninety patients aged 4-6 years, ASA levels I-II, were randomly divided into three groups: U, T, or C (n=30 each). After basic anesthesia, patients in group U underwent ultrasound-guided IINB, those in group T underwent traditional Schulte-Steinberg IINB, and those in group C (controls) received intravenous anesthesia (ketamine-propofol) only. Patients who remained sensitive to intraoperative stimuli received additional intravenous doses of 1 mg/kg ketamine. Heart rate (HR), mean arterial pressure (MAP), and oxygen saturation (SPO 2 ) were recorded upon entering the operating room (T0), at skin incision (T1), while pulling the hernia sac (T2), during skin closing (T3), and upon awakening (T4) at recovery. HR and MAP at T1, T2, and T4 were higher in group C than those in the other two groups, and recovery time in group C was significantly prolonged (P<0.05). Group U required significantly lower quantities and frequency of ketamine injection, and pain scores in group U during awakening were lower than those in the other two groups (P<0.05). Ultrasound-guided IINB provided an improved nerve block effect and postoperative analgesia, reduced the amount of local anesthetic required, facilitated more rapid postoperative recovery, and was a safe and effective method of anesthesia.

Anesthetic Management of Inguinal Hernia Surgery Using a Second-Generation Supraglottic Airway in a Patient With Trisomy 18: A Case Report

“…To the best of our knowledge, trisomy 18 and the sacrococcygeal dermal sinus were not associated. Although a recent meta-analysis revealed that quadratus lumborum and transversus abdominis plane blocks were more effective than other regional analgesia for pediatric inguinal hernia repair [ 13 ], ultrasound-guided IINB was also safe and effective [ 14 ].…”

Ultrasound-guided nerve block for pediatric inguinal herniorrhaphy

“…Lihua et al [13], on the other hand, found that ultrasound-guided ilioinguinal/iliohypogastric nerve block in pediatric one-day surgery causes decrease in heart rates and mean arterial pressure (MAP) compared to the control group.…”

Bloqueos Regionales en Cirugía Pediátrica Ambulatoria

“…En un estudio de pacientes sometidos a cirugía ambulatoria de la región inguinal, se comparó el bloqueo II/IH bajo US, bloqueo II/IH bajo referencias anatómicas y grupo control con analgesia endovenosa sin bloqueo regional. El uso de bloqueo II/IH bajo US mejoró el efecto analgésico intraoperatorio, disminuyó la dosis requerida de AL, y se asoció a una recuperación post operatoria más rápida, (28).…”