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A comparison of nerve stimulator guided paravertebral block and ilio‐inguinal nerve block for analgesia after inguinal herniorrhaphy in children
Author(s) -
Naja Z. M.,
Raf M.,
El Rajab M.,
Daoud N.,
Ziade F. M.,
Al Tannir M. A.,
Lönnqvist P. A.
Publication year - 2006
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2006.04833.x
Subject(s) - medicine , anesthesia , nerve block , inguinal hernia , block (permutation group theory) , patient satisfaction , blockade , analgesic , nerve stimulator , surgery , hernia , receptor , geometry , mathematics
Summary The aim of this study was to compare the efficacy of nerve stimulator guided paravertebral block with ilio‐inguinal nerve block in children undergoing inguinal herniorrhaphy. Eighty children were randomly allocated to receive either paravertebral block or ilio‐inguinal nerve block. Each block was evaluated in terms of intra‐operative haemodynamic stability, postoperative pain scores at rest, on movement and during activity, requirement for supplemental analgesia and parental satisfaction. Haemodynamic stability was maintained significantly better during sac traction in the paravertebral block group (p < 0.005). Pain scores and analgesic consumption were significantly lower in the paravertebral block group during the postoperative follow‐up period (p < 0.05). Parental satisfaction (93% vs 69%) and surgeon satisfaction (93% vs 64%) were significantly higher in the paravertebral block group (p < 0.05). Paravertebral blockade improved and prolonged postoperative analgesia, and was associated with greater parental and surgeon satisfaction when compared to ilio‐inguinal nerve block.