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Conventional Caudal Block (CCB) is being used frequently for postoperative analgesia in pediatric patients. Transversus Abdominis Plane (TAP) block is now rapidly evolving peripheral nerve block technique with lower risk profile. Aim: This study aims to evaluate analgesic efficacy and safety of USG guided TAP block and compare it with caudal block for duration and quality of postoperative analgesia. Methodology: 60 patients of age group 01-05 years belonging to ASA Ι and ΙΙ posted for unilateral Ilioinguinal surgery were randomized into two groups C and T of 30 each to receive either CCB with 1ml/kg 0.25% bupivacaine or USG guided TAP block with 0.5ml/kg 0.25% bupivacaine after induction of anesthesia. Parameters observed for 24 hours postoperatively included hemodynamic changes, postoperative duration of analgesia by CHEOPS pain score, total analgesic requirement, quality of analgesia with Parent Patient Satisfaction score, residual motor block with Modified Bromage Scale and adverse effects. Results: TAPB is initially equivalent to CCB in providing post-operative pain control but would also show improved immediate post-operative pain relief and analgesic efficacy beyond the anticipated caudal duration Conclusion: USG guided TAP block is safe and effective method with good Parent Patient satisfaction for post-operative analgesia in pediatric unilateral ilioinguinal surgeries. So it is good alternative to CCB.

international journal of medical anesthesiology

Ultrasound guided transversus abdominals plane (TAP) block versus conventional caudal epidural block for post-operative analgesia in paediatric ilioinguinal surgeries