Ilioinguinal and Iliohypogastric Nerve Block with Anatomical Landmark and Direct Visualization Technique

Raoofi, Zahra; Karimi, Minoodokht Bavarsad; Parvar, Seyedeh Pegah; Parvar, Seyedeh Paniz

doi:10.3329/bjog.v29i2.30485

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…The ilioinguinal and iliohypogastric nerve block has primarily been studied in the context of Caesarean section in two RCTs, 128 , 129 whereas one RCT mentioned the ilioinguinal nerve block only. 130 Additionally, one study investigated the effectiveness of pain management in patients undergoing surgery for cervical cancer.…”

Section: Resultsmentioning

confidence: 99%

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Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023

Admiraal,

Marhofer,

Hopkins

et al. 2024

British Journal of Anaesthesia

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Section: Resultsmentioning

confidence: 99%

“…Two RCTs ( n =230) used the landmark technique for nerve identification, 129 , 130 whereas another two RCTs ( n =126) used ultrasound guidance. 128 , 131 …”

Section: Resultsmentioning

confidence: 99%

Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023

Admiraal,

Marhofer,

Hopkins

et al. 2024

British Journal of Anaesthesia

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“…We included 114 trials (8730 women) in our final network analysis, 73 (64%) of which reported the primary outcome of morphine equivalent dose in the first 24 postoperative hours for 5126 (59%) women (Fig. 1 and online Supporting Information, Table S1) [14–127]. Placebo vs. transversus abdominis plane injection in 11 trials was the most common direct comparison.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of regional blocks or local anaesthetic infiltration for analgesia after caesarean delivery: a network meta‐analysis of randomised controlled trials

et al. 2021

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Caesarean delivery is common and can cause severe postoperative pain but injection of local anaesthetic at various sites for regional blocks or local anaesthetic infiltration may reduce this. We aimed to compare and rank these sites. We searched PubMed, Google Scholar, EMBASE and CENTRAL to June 2021 for randomised controlled trials and performed a random-effects Bayesian model network meta-analysis. The primary outcome was dose of parenteral morphine equivalents in the first 24 postoperative hours. We used surface under cumulative ranking probabilities to order techniques. We analysed 114 trials (8730 participants). The ordered mean (95% credible interval) reduction in morphine equivalents, from 34 mg with placebo, were as follows: ilioinguinal 15 (1-32) mg; ilio-inguinal-iliohypogastric 13 (6-19) mg; transversalis fascia 11 (4-26) mg; erector spinae 11 (10-32); transverse abdominis 9 (4-13) mg; wound catheter infusion 8 (2-15) mg; quadratus lumborum 8 (1-15) mg; wound infiltration 8 (2-13) mg; and no intervention À4 (À10 to 2) mg. Ordered efficacies for injection sites were different for other relevant outcomes, including pain (to 4-6 h and to 24 h) and time to rescue analgesia: there was no single preferred route of injection. The ordered mean (95% credible interval) reduction in dynamic pain scores (0-10 scale) at 24 h compared with placebo were as follows: wound infusion 1.2 (0.2-2.1); erector spinae 1.3 (À0.5 to 3.1); quadratus lumborum 1.0 (0.1-1.8); ilio-inguinaliliohypogastric 0.6 (À0.5 to 1.8); transverse abdominis 0.6 (À0.1 to 1.2); wound infiltration 0.5 (À0.3 to 1.3); transversalis fascia À0.8 (À3.4 to 1.9); ilio-inguinal À0.9 (À3.6 to 1.7); and no intervention À0.8 (À1.8 to 0.2). We categorised our confidence in effect sizes as low or very low.

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“…Safety-related outcomes of local anesthetic techniques may include opioid-related side effects (ie, PONV, pruritus, sedation, respiratory depression, hypotension, and urinary retention), block-related complications (ie, hematoma, organ injury, local anesthetic systemic toxicity, and block failure), and effects on breastfeeding or motherinfant interaction. [84][85][86] Respiratory depression, 14,37,51,78 hypotension, 32,37,38,53 urinary retention, 31,37,68,72 effects on breastfeeding or mother-infant interaction, 43,65,77 and block-related complications 37,39,41,43,50,73,80 were rarely reported in the involved study. Therefore, we selected PONV, pruritus, and sedation as the safety outcomes of this NMA.…”

Section: Discussionmentioning

confidence: 98%

The Efficacy and Safety of Local Anesthetic Techniques for Postoperative Analgesia After Cesarean Section: A Bayesian Network Meta-Analysis of Randomized Controlled Trials

Wang¹,

Zhao²,

Song³

et al. 2021

JPR

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Objective Cesarean section (CS) is one of the most frequently performed major surgical interventions. Local anesthetic techniques, a universal component of perioperative multimodal analgesia, are reportedly effective in reducing pain scores and opioid requirements. However, the optimal local anesthetic technique for postoperative CS pain remains unclear. Methods Six databases were searched, and a Bayesian network meta-analysis was performed. The outcomes included cumulative morphine consumption and pain scores at four time points, time to first analgesic request, postoperative nausea and vomiting, pruritus, and sedation. Results Sixty-eight studies with 5039 pregnant women were included. Six local anesthetic techniques were involved, including transversus abdominis plane block (TAPB), ilioinguinal and iliohypogastric nerve block, quadratus lumborum blocks, transversalis fascia plane block, erector spinae block, and wound infiltration. Compared to inactive controls, TAPB reduced cumulative morphine consumption at 6, 12, 24, and 48 h, pain scores at 6, 12, and 24 h (with the exception of 24 h at rest), the risk of postoperative nausea and vomiting, and sedation. Compared with inactive controls, ilioinguinal and iliohypogastric nerve block reduced cumulative morphine consumption at 6 and 24 h and pain scores at 6, 12, and 24 h during movement. Compared with inactive controls, quadratus lumborum blocks reduced cumulative morphine consumption at 24 and 48 h and pain scores at 6 and 12 h and lengthened the time to first analgesic request. Compared with inactive controls, wound infiltration reduced cumulative morphine consumption at 12 and 24 h, pain scores at 12 and 24 h during movement, and risk of sedation. Compared with inactive controls, erector spinae block reduced pain scores at 6 and 12 h. Transversalis fascia plane block was found to have similar outcomes to inactive controls. Conclusion TAPB is the most comprehensive local anesthetic technique for postoperative CS analgesia in the absence of intrathecal morphine.

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Ilioinguinal and Iliohypogastric Nerve Block with Anatomical Landmark and Direct Visualization Technique

Cited by 6 publications

References 2 publications

Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023

Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023

Efficacy of regional blocks or local anaesthetic infiltration for analgesia after caesarean delivery: a network meta‐analysis of randomised controlled trials

The Efficacy and Safety of Local Anesthetic Techniques for Postoperative Analgesia After Cesarean Section: A Bayesian Network Meta-Analysis of Randomized Controlled Trials

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