title: A comparison of nerve stimulator guided paravertebral block and ilio-inguinal nerve block for analgesia after inguinal herniorrhaphy in children.
abstract: The aim of this study was to compare the efficacy of nerve stimulator guided paravertebral block with ilio-inguinal nerve block in children undergoing inguinal herniorrhaphy. Eighty children were randomly allocated to receive either paravertebral block or ilio-inguinal nerve block. Each block was evaluated in terms of intra-operative haemodynamic stability, postoperative pain scores at rest, on movement and during activity, requirement for supplemental analgesia and parental satisfaction. Haemodynamic stability was maintained significantly better during sac traction in the paravertebral block group (p < 0.005). Pain scores and analgesic consumption were significantly lower in the paravertebral block group during the postoperative follow-up period (p < 0.05). Parental satisfaction (93%vs 69%) and surgeon satisfaction (93%vs 64%) were significantly higher in the paravertebral block group (p < 0.05). Paravertebral blockade improved and prolonged postoperative analgesia, and was associated with greater parental and surgeon satisfaction when compared to ilio-inguinal nerve block.
authors.affiliation: Department of Anaesthesia, Makassed General Hospital, Beirut, Lebanon.
authors.forename: Z M
authors.initials: ZM
authors.lastname: Naja
authors.forename: M
authors.initials: M
authors.lastname: Raf
authors.forename: M
authors.initials: M
authors.lastname: El-Rajab
authors.forename: N
authors.initials: N
authors.lastname: Daoud
authors.forename: F M
authors.initials: FM
authors.lastname: Ziade
authors.forename: M A
authors.initials: MA
authors.lastname: Al-Tannir
authors.forename: P A
authors.initials: PA
authors.lastname: Lönnqvist
mesh_terms: D000700:Analgesics; D001794:Blood Pressure / Q000502:physiology; D002648:Child; D002675:Child, Preschool; D004558:Electric Stimulation; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control; D017060:Patient Satisfaction; D011182:Postoperative Care / Q000379:methods; D011446:Prospective Studies; D013127:Spinal Nerves
chemical_list: D000700:Analgesics