ESRA Academy. Martins A. Sep 8, 2016; 138505; 0365 Topic: Paediatric Population
Ana Martins
Ana Martins

Access to Premium content is currently a membership benefit.

Click here to join ESRA or renew your membership.

Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

The most commonly performed inguinal surgeries in children include inguinal hernia repair. For intra- and postoperative analgesia, a regional anesthetic technique such as  caudal, TAP, inguinal and iliohypogastric nerve block can be combined with a general anaesthesia. Regional techniques reduce the risk of side effects of opioids administration.

                                The main objective is to compare the analgesic efficacy and side effects with the use of caudal analgesia with other noncaudal regional analgesia techniques in children undergoing inguinal hernia surgery.


Retrospective study in children submitted to inguinal hernia repair surgery in ambulatory regimen from 2013 to 2015.

                Data collected from clinical process. Cases were stratified according the use of caudal anaesthesia.

                Children needing rescue analgesia and adverse effects in each group were compared.

Statistical analysis was performed using SPSS (Chi-square). 


From 168 children, 135 (80,4%) were male, aging between 1 month and 14 years. 113 patients were ASA I (67,3%), 53 were ASA II (31,5%) and 2 were ASA III (1,2%).

Caudal block was done in 102 children (60,7%). In the remaining, non caudal blocks (ultrasound guided TAP, inguinal and iliohypogastric nerve blocks) were performed.

3 children needed rescue analgesia, 1 child experienced postoperative nausea and vomits.

There were no statistical differences in both groups regarding demographic data , rescue analgesia needs or adverse effects.


In our study, caudal blocks didn’t show benefits over non caudal blocks. Like other studies, our results support that there is still no conclusive evidence to prefer one technique over the other in consideration of their efficacy and side effects.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.

Save Settings