Beta
ManageSearchChatDiscover
103310

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Regional anesthesia in pediatric surgery alone or combination with light general anesthesia provides several advantages, the most significant is intra- and post-operative pain relief. 
Aim of the work: This study aimed to compare spinal to caudal anesthesia in children undergoing lower abdominal surgeries regarding [sensory and motor block as a primary outcome], hemodynamics and postoperative pain as a secondary outcome.
Patients and Methods:This study was a prospective randomized comparative clinical single-blind study. It included 40 children [ASA I or II] of both sexes, aged [3-9 years] undergoing lower abdominal surgeries. Patients were randomly assigned into one of two groups [20 patients in each group]. group [S] undergo spinal anesthesia, group [C] undergoes caudal anesthesia. To assess the following parameters; sensory and motor block, heart rate, mean arterial blood pressure and postoperative pain.
Results: Spinal anesthesia has a rapid onset of sensory block, more intensity than caudal anesthesia, but of shorter duration. Caudal anesthesia provides more time of motor block than spinal anesthesia. There was no statistically significant difference between groups regarding mean arterial pressure, but caudal anesthesia has more tachycardia than spinal anesthesia, and caudal anesthesia provides better postoperative analgesia more than spinal anesthesia.
Conclusion: Regional anesthesia in pediatrics is an effective and safe option. Caudal and spinal are both effective, however caudal have relatively more duration of postoperative analgesia and motor block than spinal anesthesia.

DOI

10.21608/ijma.2020.23762.1099

Keywords

Anesthesia, caudal, spinal, Pediatrics, Surgery

Authors

First Name

Ahmed

Last Name

Al-Kershawy

MiddleName

Atya

Affiliation

Departments of Anesthesia and Intensive care, Faculty of Medicine, Al-Azhar University, Damietta

Email

ahmedatya1192@gmail.com

City

-

Orcid

-

First Name

Tawfik

Last Name

Noor El-Din

MiddleName

Mohamed

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo.

Email

tawfeeknoor59@gmail.com

City

Cairo

Orcid

-

First Name

Mahmoud

Last Name

Abd-Elsalam

MiddleName

Ahmed

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Asiut.

Email

dr_mahmoud_278@yahoo.com

City

Asiut

Orcid

-

First Name

Hany

Last Name

Ismail

MiddleName

Said

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo.

Email

hanysaid.icu@gmail.com

City

Cairo

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-02-09

Publish Date

2020-10-01

Page Start

705

Page End

711

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 705-711.pdf

PDF . 2.4MB

Link

https://ijma.journals.ekb.eg/article_103310.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=103310

Order

4

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

Details

Type

Article

Created At

22 Jan 2023