Ultrasound-guided ilioinguinal/iliohypogastric block did not reduce emergence delirium after ambulatory pediatric inguinal hernia repair: a prospective randomized double-blind study

Abstract

UMIN000008586.

Effects of scalp nerve block on pain and emergence agitation after paediatric nevus surgery: a clinical trial

“…Now, peripheral nerve blocks are being used more widely as post-operative analgesic modalities in children 12 and they can be safely placed under general anaesthesia. 14 In this study, we were able to maintain similar, end-tidal concentrations of sevoflurane during surgery, without a significant fluctuation of blood pressure, in both the remifentanil and block groups. In contrast, pre-incisional ultrasound-guided ilioinguinal/iliohypogastric nerve blocks did not reduce EA after ambulatory paediatric hernia repair, although nerve block decreased the amount of intraoperative sevoflurane needed.…”

“…In contrast, pre-incisional ultrasound-guided ilioinguinal/iliohypogastric nerve blocks did not reduce EA after ambulatory paediatric hernia repair, although nerve block decreased the amount of intraoperative sevoflurane needed. 14 In this study, we were able to maintain similar, end-tidal concentrations of sevoflurane during surgery, without a significant fluctuation of blood pressure, in both the remifentanil and block groups. A pre-incisional blockade of the major scalp nerves and/or infiltration of anaesthesia around the nevi can block nociceptive pain arising from the wound completely for a few hours.…”

“…13 However, effect of postoperative pain relief by regional anaesthesia techniques including peripheral nerve blocks on EA has been contradictory. 5,6,14 Wang et al 6 previously reported that pre-incisional infraorbital nerve block decreased the incidence of EA effectively in children who underwent cleft lip surgery, but authors assumed that besides pain relief, the reduced amount of sevoflurane by nerve block during surgery might be an important factor in reducing the incidence of EA. In contrast, pre-incisional ultrasound-guided ilioinguinal/iliohypogastric nerve blocks did not reduce EA after ambulatory paediatric hernia repair, although nerve block decreased the amount of intraoperative sevoflurane needed.…”

Regional anesthesia to ameliorate postoperative analgesia outcomes in pediatric surgical patients: an updated systematic review of randomized controlled trials

“…Three studies assessed the use of ilioinguinal/iliohypogastric nerve blocks in children undergoing inguinal surgeries. 45 , 55 , 64 One study reported postoperative pain (CHIPPS) in the post-anesthesia care unit (PACU) was significantly higher in the local anesthetic group compared with the ilioinguinal/iliohypogastric nerve block group. Another study compared intraoperative ultrasound-guided ilioinguinal/iliohypogastric nerve blocks with those who did not receive a block on postoperative analgesic outcomes.…”

Paediatric emergence delirium: a comprehensive review and interpretation of the literature

“…A prospective randomized, double-blind study of children (1-6 yr) showed that ilioinguinal/ iliohypogastric blocks did not decrease ED after a sevoflurane anaesthetic, despite equal pain relief between those with and without blocks. 72…”