Journal
PAEDIATRIC ANAESTHESIA
Volume 12, Issue 3, Pages 255-260Publisher
BLACKWELL PUBLISHING LTD
DOI: 10.1046/j.1460-9592.2002.00832.x
Keywords
ilioinguinal and iliohypogastric nerve block; femoral nerve block; children
Categories
Ask authors/readers for more resources
Background: We, attempted to determine the efficacy of a one plane ilioinguinal and iliohypogastric nerve block with a single shot and double shot techniques. Methods: In a randomized single blind study, 90 children, aged 2-12 years, received a single shot (SS) or a double shot (DS) technique for ilioinguinal and iliohypogastric (IG-IH) nerve block for inguinal hernia repair. In the SS group, 0.25 ml.kg(-1) of 0.25% bupivacaine was given one fingerbreadth medial to the anterior superior iliac spine under the external oblique aponeurosis. In the DS group, one-third of the total dose of bupivacaine was given as for the SS group. The remaining two-thirds was deposited 0.5 cm above and lateral to the mid-inguinal point deep to the external oblique aponeurosis. Results: The success rates of both techniques were similar, at 72%, although the presence of local anaesthetic in the inguinal canal was significantly higher with the DS technique. The incidence of femoral nerve block was 4.5% with the SS and 9% with the DS technique (P > 0.05). Parental satisfaction with postoperative pain relief was high, at 94%. Conclusions: The DS technique, while technically more difficult, does not improve the success rate of the IG-IH nerve block compared with the SS technique.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available