A Comparison Between Caudal Epidural Analgesia and Paracetamol Suppository in Relieving Pain after Inguinal Hernia Repair in Pediatric Age Group

Authors

  • Abdulsamad Talal Kamil
  • Faez Ahmed Mahdi

DOI:

https://doi.org/10.37506/mlu.v22i4.3324

Keywords:

Bupivacaine, Anesthesia, Caudal, Analgesia, Acetaminophen Suppository.

Abstract

Background: the control of postoperative pain is important in children, and poor pain control leads to organ
dysfunction and behavioral problem.
Aim of study: we compare the analgesic effect of bupivacaine by caudal block root and acetaminophen suppository
on postoperative pain in pediatric inguinal hernial repair surgery.
Patient and Methods: A prospective, randomized, controlled trail of 40 children, aged between (1-7 years), ASA
grade I-II, scheduled for elective day case unilateral inguinal surgery. For all the patients included in this study,
a standardized controlled anesthetic protocol was used. Preoperatively the patients were randomized into two
groups according to the operation waiting lists. group 1 included (18) patients who received single - shot caudal
block with (1ml/kg) of 25% bupivacaine preoperatively after induction of anesthesia by the anesthetist, group 2
included (22) patients who received (15-20 mg/kg) acetaminophen suppository.
Results: The number of patients (who had first three hours free of pain); was significantly higher in the Caudal
group than those of the other group. Patients of the Caudal group; needed significantly a longer duration of time
for the first analgesic drug. Patients of the Caudal group; had significantly a lower (Face, Legs, Activity, Cry,
Consolability scale) in (1/2, 1, and 2 hours) time intervals of the study.
Conclusion: Caudal anesthesia with bupivacaine has better painless period postoperatively.

Author Biographies

Abdulsamad Talal Kamil

M.B.Ch.B., Al-Immamein Al-Kadhimaein Hospital, Al-Karkh Health Directorate,
Ministry of Health and Environment

Faez Ahmed Mahdi

Consultant in anesthesia and intensive care, M.B.CH.B., F.I.C.M.S Anesthesia, Alsadr teaching complex,
Al Najaf Health Directorate, Ministry of Health and Environment, Al Najaf, Iraq

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Published

2022-10-27

How to Cite

Abdulsamad Talal Kamil, & Faez Ahmed Mahdi. (2022). A Comparison Between Caudal Epidural Analgesia and Paracetamol Suppository in Relieving Pain after Inguinal Hernia Repair in Pediatric Age Group. Medico Legal Update, 22(4), 1–7. https://doi.org/10.37506/mlu.v22i4.3324