Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy: comparison with caudal epidural block

Somri, Mostafa; Gaitini, Luis; Vaida, Sonia; Yanovski, Boris; Sabo, Edmond; Levy, Nurit; Greenberg, Avital; Liscinsky, Sofia; Zinder, Oren

doi:10.1046/j.1460-9592.2002.00916.x

Cited by 34 publications

(32 citation statements)

References 32 publications

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“…Five patients (33.3%) from ILIH block group, who had a pain score of greater than five, received i.v. fentanyl in the PACU [30].…”

Section: Discussionmentioning

confidence: 99%

“…In all these studies, the authors used single "pop" sensation techniques, injecting local anesthetics under external oblique muscle aponeurosis, with failure rates ranging from 25.8% to 33% [31,1,2,28,30]. In Kundra's study, injection of the local anesthetics above and below internal oblique muscle aponeurosis demonstrate a success rate of 94% [29].…”

Section: Discussionmentioning

confidence: 99%

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2017

Cent Asian J Med Sci

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Objectives:To examine ilioinguinal and iliohypogastric (ILIH) nerve block techniques among children. Methods: A total of 120 children, aged 1-16 years, were included in this prospective, randomized, single-blinded study. Children received an ILIH nerve block using the conventional fascial click of double "pop" technique on four different points: (Group I, n=30) ILIH block at the junction of the lateral one-fourth, the medial three-fourth in the line from the anterior superior iliac spine (ASIS) to the umbilicus; (Group II, n=28) approximately 2.5 mm medial to the ASIS; (Group III, n=30) 10 mm medial-superior to the ASIS; and (Group IV, n=30) 10mm medial-inferior to the ASIS. Intraoperative hemodynamic changes, postoperative pain intensity, time of first analgesic requirement, and correlation between BMI and groups were examined. Results: The average pain score 2 hours after operation was lowest in group I (1.04±1.23 [Cl 95%,) and highest in group IV (2.88±2.47 [Cl 95%, 0-9]), a difference of statistically significance (p=0.0027). In group I only, the pain intensity had a weak, positive correlation with BMI (r=0.49, p=0.006). Conclusion: Group I used the best ILIH block technique.

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“…Five patients (33.3%) from ILIH block group, who had a pain score of greater than five, received i.v. fentanyl in the PACU [30].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Untitled

2017

Cent Asian J Med Sci

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“…Looking specifically at regional anaesthesia for orchidopexy, some studies suggest a superiority of caudal block over IIB (without the addition of SCB) [20,21]. Somri measured plasma catecholamines in 30 boys randomised to IIB or caudal block for orchidopexy [20].…”

Section: Discussionmentioning

confidence: 99%

“…Somri measured plasma catecholamines in 30 boys randomised to IIB or caudal block for orchidopexy [20]. Considering these hormones as an objective surrogate for pain and anxiety, significantly lower levels were found in the caudal group post-operatively.…”

Section: Discussionmentioning

confidence: 99%

Elective orchidopexy in the paediatric population: a trial of intra-operative spermatic cord block

Blatt

Cassey

2006

Pediatr Surg Int

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It is well established that pre-emptive and multimodal analgesia improve pain control and decrease narcotic use as well as the length of stay. Whilst some form of local anaesthetic (LA) block is almost routine for most inguinal procedures in children, the best modality is uncertain for orchidopexy. We sought to explore as to whether the addition of spermatic cord block (SCB) to our standard ilio-inguinal block (IIB) in this situation had any impact on analgesic requirements post-operatively. A retrospective review of a single surgeon and single centre experience of LA block for elective orchidopexy is described for a 9-year period. In the first half of the study, the LA technique was an IIB. An SCB was added to the IIB in the second half using the same total dose of 0.8 ml/kg bupivacaine. In the entire group, 35% of the SCB + IIB boys required narcotics as compared to 56% with IIB alone (p > 0.05). On subgroup analysis of a "medium risk" procedure (i.e. inguinal approach for a superficial pouch testis) only 35% required narcotics in the SCB + IIB group as compared to 70% in the IIB (p < 0.05). Use of a SCB + IIB in elective orchidopexy in a paediatric population has additional benefit to IIB alone.

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“…A systematic review by Rogers et al [59][60][61][62] confirmed the benefits of neuroaxial blockade with or without concomitant general anaesthesia in terms of reducing postoperative mortality and morbidity in the adult population. Epidural anaesthesia suppresses serum levels of stress hormones in children undergoing lower abdominal surgery, whereas general inhalational anaesthesia alone or general anaesthesia with low-dose intravenous opioids appears to be ineffective in suppressing the surgical stress response [63][64][65].…”

Section: Anaesthetic Techniquementioning

confidence: 99%

Improved outcomes in paediatric anaesthesia: contributing factors

Somri

Coran

Hadjittofi³

et al. 2012

Pediatr Surg Int

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Despite substantial progress, there is still much room for improvement in areas such as adverse-event reporting, anaesthetic-related risk and late neurocognitive outcomes. Systematic reviews comparing paediatric patient outcomes after neuroaxial block versus general anaesthesia are currently unavailable. The future of paediatric anaesthesia will most likely be influenced by much-needed large prospective studies, which can provide further insight into patient safety and service delivery.

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Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy: comparison with caudal epidural block

Abstract: The result of this study revealed that caudal epidural block was more effective than ilioinguinal block in suppressing the stress response as reflected in epinephrine and norepinephrine blood levels in orchidopexy patients.

Cited by 34 publications

References 32 publications

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Elective orchidopexy in the paediatric population: a trial of intra-operative spermatic cord block

Improved outcomes in paediatric anaesthesia: contributing factors

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