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

AUTHORS

A Shahriari 1 , * , MH Heidari 2 , M Roudbari 3

1 Instructor, Assistant Professor, Departement of anesthesiology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran

2 Assistant Professor, Section of Anatomy, Department of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Associate Professor of biostatics, Dept. of Mathematics and Statistics, Iran University of Medical Sciences, Tehran, Iran

How to Cite: Shahriari A, Heidari M, Roudbari M. Comparison of Characteristics of Caudal Block in Two Different Approaches: Trans-Sacral and Trans-Sacral Hiatus, Shiraz E-Med J. Online ahead of Print ; 9(4):175-181.

ARTICLE INFORMATION

Shiraz E-Medical Journal: 9 (4); 175-181
Published Online: October 1, 2008
Article Type: Research Article
Received: March 1, 2008
Accepted: September 25, 2008

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Abstract

Background: Caudal block offers a good and safe postoperative analgesia in pediatric patients. In a randomized study we have examined the characteristics and mean duration of analgesia after caudal anesthesia performed with two different routes: trans-sacral and trans-sacral hiatus.

Methods: Forty boys in Ali-Ebne-Abitaleb Hospital of Zahedan undergoing hyspospadias repair were randomly allocated in two groups to receive bupivacaine 1.5mg/kg from sacral route in one group and from sacral hiatus route in the control group. Postoperative pain and sedation scores were assessed for 12 hr after operation.

Results: The time of first requiring of additional analgesia did not differ significantly between two groups (36540 min in sacral group vs 39035 min in trans-sacral-hiatus group) (P value=0.17). Side effects were not seen in any patients. Two groups were comparable with regards pain scores and sedation scores at 1 and 7h (P > 0.05).

Conclusion: We concluded that the trans-sacral route is an acceptable, safe and easy method for performing caudal block, but total duration of analgesia did not differ with these two methods.

Keywords

Caudal anesthesia, Sacral Hiatus, Trans-sacral.

© 2008, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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