Children aged one to seven who were undergoing inguinal herniorrhaphy received either a caudal block or splash block with ropivacaine. The caudal block used the loss of resistance method via the sacral hiatus, and the splash block, or local instillation, was administered to the surgical site.
The pain scores at 10, 30 and 60 minutes postanesthesia were similar for both types of blocks, with the caudal block group reporting slightly less pain than the splash block group at 90 minutes. The caudal block group also required less intraoperative sevoflurane than did the splash block group.
The authors suggest a splash block can have a similar analgesic effect as a caudal block for postoperative herniorrhaphy pain in children.
Read the Korean Journal of Anesthesiology abstract on splash blocks’ effects on herniorrhaphy pain in children.
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