Analgesic efficacy of Ultrasound-Guided Caudal Block versus Pudendal Nerve Block in BRAKA - I Repair for Paediatric Hypospadias
DOI:
https://doi.org/10.51253/pafmj.v74i1.9445Keywords:
Analgesia, Caudal block, Children, Pudendal nerve blockAbstract
Objective: To compare the efficacy of ultrasound-guided caudal versus pudendal nerve block analgesia in paediatric patients undergoing hypospadias.
Study Design: Quasi-experimental study.
Place and Duration of Study: Combined Military Hospital Rawalpindi, Pakistan from Mar to Sep 2022.
Methodology: Paediatric patients with ages ranging from 4-12 years with ASA Grade I/II planned for hypospadias repair
were included. Sixty-eight patients were divided into Group-C (caudal block) and Group-P (pudendal nerve block), after
randomization. Group-C patients received ultrasound-guided caudal block while pudendal nerve blockade was performed
under ultrasound guidance in Group- P. Demographic variables, requirement of rescue analgesics, CHEOPS scoring at 0, 1, 2,6 and 12 hours, and complications in the intraoperative period were recorded.
Results: Pain scores at the 6th and 12th hour were significantly reduced in Group-P compared to Group-C. Requirement of
analgesia was lesser in Group P 01(2.9%) compared to 11(32.3%) in Group C with a p-value of 0.006. Out of 34 patients in
Group-C 07(20.6%), patients encountered complications compared to Group-P, which had no complications.
Conclusion: Ultrasound-guided pudendal nerve block is superior to caudal block in providing adequate perioperative
analgesia with fewer complications and decreased requirement of additional analgesic supplements.
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