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Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
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Erector spinae plane block versus caudal block for postoperative analgesia in pediatric patients undergoing inguinal

Jinsheng Guan1, Linwei Liu2, Ying Yang2

  • 1Department of Anesthesiology, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, People's Republic of China.

Annals of Medicine
|December 28, 2023
PubMed

Insights

Erector spinae plane block offers better postoperative pain relief than caudal block in pediatric inguinal hernia repair. This study found longer time to first rescue analgesia and reduced need for pain medication with the erector spinae plane block.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Regional Anesthesia

Background:

  • Erector spinae plane block is a potential pain management technique.
  • Its efficacy compared to caudal block for pediatric inguinal hernia repair is not well-established.

Purpose of the Study:

  • To compare the effectiveness of erector spinae plane block versus caudal block for postoperative pain control in children undergoing inguinal hernia repair.

Main Methods:

  • 102 pediatric patients (2-5 years) were randomized to erector spinae plane block, caudal block, or no block.
  • Primary outcome: time to first rescue analgesia. Secondary outcomes: rescue analgesia use, pain scores, guardian satisfaction, and adverse events.

Main Results:

  • Erector spinae plane block significantly prolonged time to first rescue analgesia (10.0h vs 5.0h, p<0.001) compared to caudal block.
  • The erector spinae plane block group showed a lower risk of requiring rescue analgesia (0.38, p<0.001) and reduced pain scores over time (AUC 44.3 vs 59.0, p<0.001).

Conclusions:

  • Erector spinae plane block provides superior postoperative analgesia compared to caudal block in pediatric inguinal hernia repair.
  • The study was registered under ChiCTR2100048303.
Abstract

Keywords:
Caudal blockerector spinae plane blockinguinal hernia repairpain managementpediatric anesthesia

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