Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Comparison of Ultrasound Guided Transversus Abdominis Plane Block and Caudal Epidural Block for Pain Relief in Children Undergoing Unilateral Inguinal Herniotomy

Ramalingam Ayshvarya, Resident, Department of Anaesthesia, K.A.P. Viswanatham Government Medical College and Mahatma Gandhi Memorial Government Hospital, Tiruchirappalli, Tamil Nadu 620001, India. , Ramalingam Ayshvarya1 , Rajasekaran Selvakumar2 , Ranganathan Ganessan3 , Murugiah Suresh4

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 5(1):p 40-47, January-February 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5118.7

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Context: Transversusabdominis plane block (TAP) has emerged as a simple, safe technique for post-operative analgesia in lower abdominal surgeries for adults. Its superiority over the most preferred caudal block in paediatric surgeries is unclear. Aims: To evaluate the efficacy of the Ultrasound (USG) guided -TAP block in comparison with the Caudal Block, for pain relief in paediatricinguinal herniotomies. Settings and Design: After obtaining institutional ethical committee approval, a Randomised Control Trial was conducted in 60 children,undergoing elective unilateral inguinal herniotomy in our tertiary care hospital. Methods and Material: Childrenof age 1 7years, weighing 5-20kg of ASA I/II were randomly allocated into two groups after obtaining parental consent.Group T received USG-guided TAP block (0.5ml/kg of 0.25% bupivacaine) and Group C received Caudal block (1ml/kg of 0.25% bupivacaine). The intra-operative hemodynamics and analgesic requirement were recorded. Pain in the post-operative period was assessed using FLACC pain score. Time to first rescue analgesia, cumulative opioid consumption, along with the incidence of side effects were noted in the first 12hrs of the post operative period. Statistical analysis was performed using SPSSv16. Results: The duration of postoperative analgesia in Group T (8.6hrs±1.84), was significantly more than that of Group C, (4.57hrs±1.406). The pain scores and the mean opioid consumption were significantly less with Group T. Time to urine voiding was prolonged in Group C. Conclusions: ThoughCaudal block provided better intra-operative analgesia; the duration of post operative analgesia was longer with USG-guided TAP block for pediatric inguinal herniotomy.

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5118.7

Keywords

USG Guided; Transversusabdominis; Paediatric; Pain; Haemodynamics; Post-Operative Analgesia; Opioid Consumption. 

Article Level Metrics

Last Updated

Tuesday 14 July 2026, 08:18:45 (IST)

5689

Accesses

2
679
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share