Comparison Of The Analgesic Efficacy Of Caudal And Ilioinguinalnerve Blockade Using Bupivacaine For Children Under Going Inguinal Surgeries Atmenelik Ii Hospital .

Inguinal surgeries are a type of operations performed at the inguinal region. Caudal blockrninvolves the introduction of local anesthetic into thecaudal epiduralrnspace.Ilioinguinal/iliohypogastric nerve blocks is also the most common abdominal wall blocksrnprovide effective analgesia for surgical procedures of inguinal area. rnObjectives rnTo compare the analgesic efficacy of caudal and ilioinguinal/iliohypogastric nerve blockadernusing bupivacaine for children under going inguinal surgeries at Menelik II hospital. rnMethodology rnAn institutional based prospective cohort study was conducted on 70 patients who under gonerninguinal surgeries under general anesthesia. Patients in CB group (n=35) received caudal blockrnand IL/IH group (n=35) received ilioinguinal/iliohypogastric nerve block after induction ofrnanesthesiabased on the independent decision of anesthetist.Study participants were selected byrnSystematic random sampling technique. P-value less than 0.05 was considered as statisticallyrnsignificant. rnResultrn: - This study found that caudal block has prolonged postoperative analgesia with a meanrnduration of 301.5±73.5 minute compared to 242.4±66.4 minutes in Ilioinguinal/iliohypogastric rngroup (p=0.001). Total analgesic consumption and pain severity was comparable between therngroups (p>0.05) which is not statistically significant. rnConclusion and Recommendationrn:rnwe found that caudal epidural had prolonged duration ofrnanalgesia as compared to Ilioinguinal/iliohypogastric nerve block. Based on our finding we rnrecommend the use of caudal block as effective post-operative analgesia for inguinal surgeries inrnpediatrics.

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