Comparison of Characteristics of Caudal Block in Two Different Approaches: Trans-Sacral and Trans-Sacral Hiatus.

[摘要] Background:Caudalblockoffersagoodandsafepostoperativeanalgesiainpediatricpatients.Inarandomizedstudywehaveexaminedthecharacteristicsandmeandurationofanalgesiaaftercaudalanesthesiaperformedwithtwodifferentroutes:trans-sacralandtrans-sacralhiatus.Methods:FortyboysinAli-Ebne-AbitalebHospitalofZahedanundergoinghyspospadiasrepairwererandomlyallocatedintwogroupstoreceivebupivacaine1.5mg/kgfromsacralrouteinonegroupandfromsacralhiatusrouteinthecontrolgroup.Postoperativepainandsedationscoreswereassessedfor12hrafteroperation.Results:Thetimeoffirstrequiringofadditionalanalgesiadidnotdiffersignificantlybetweentwogroups(365±40mininsacralgroupvs390±35minintrans-sacral-hiatusgroup)(Pvalue=0.17).Sideeffectswerenotseeninanypatients.Twogroupswerecomparablewithregardspainscoresandsedationscoresat1and7h(P>0.05).Conclusion:Weconcludedthatthetrans-sacralrouteisanacceptable,safeandeasymethodforperformingcaudalblock,buttotaldurationofanalgesiadidnotdifferwiththesetwomethods.

[学科分类] 基础医学

[关键词] Caudal anesthesia;Sacral Hiatus;Trans-sacral.