Postoperative pain management with caudal blockage versus apotel®administration in pediatrics undergoing inguinal herniorrhaphyunder sevoflurane anaesthesia

Shahab Darrehshiri3,, Mehrdad Goudarzi1, Alireza Ebrahimsoltani2, Anahid Maleki1; Ziyaeifard1, Mohsen; ,; ,; ,

Volume 3, Issue 2 (8 2012) JAP 2012, 3(2): 173-0 | Back to browse issues page

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Shahab Darrehshiri3, M G A E A M, Ziyaeifard1 M. Postoperative pain management with caudal blockage versus apotel®administration in pediatrics undergoing inguinal herniorrhaphyunder sevoflurane anaesthesia. JAP 2012; 3 (2) :173-0
URL: http://jap.iums.ac.ir/article-1-37-en.html

Postoperative pain management with caudal blockage versus apotel®administration in pediatrics undergoing inguinal herniorrhaphyunder sevoflurane anaesthesia

Mehrdad Goudarzi1, Alireza Ebrahimsoltani2, Anahid Maleki1 Shahab Darrehshiri3,

, Mohsen Ziyaeifard1

Abstract: (9562 Views)

Aim and Background:

Postoperative pain is a frequent complication in young children
undergoing general anaesthesi. Sevoflurane anaesthesia in children has been related with higher

incidence of postoperative emergence delirium in comparison with halothane, which some blame

the pain as it&aposs main reason. The current study was designed to compare the effect of caudal block

versus Apotel adminstraion on postoperative pain in pediatrics undergoing inguinal herniorrhaphy

under sevoflurane anaesthesia.

Methods and Materials:

In this clinical trial, 60 children aged 2-8 years who were candidate for
elective inguinal herniorrhaphy were included. After maintenance with sevoflurane, the patients

were randomly allocated to receive caudal anesthesia or intravenous Apotel 15 mg.kg

-1
. After
extubation, patient’s pain scores were assessed with Children’s Hospital of Eastern Ontario Scale

(CHEOPS). Fentanyl was administered in cases suffered from acute pain with CHEOPS

&ge
10.

Findings:

Postoperative pain in caudal block group was significantly lower than in Apotel group
(CHEOPS=7.2 vs 8, p=0.017) and opioid was administered much more in Apotel group

(p=0.003).

Conclusions:

Caudal block in comparison with Apotel is more effective in postoperative pain
reduction and is associated with less need for opioids.