Comparison of analgesic efficacy of sacral erector spinae plane block and caudal block in pediatric patients undergoing hypospadias repair surgery.

IF 2 3区医学 Q2 PEDIATRICS

Journal of Pediatric Urology Pub Date : 2025-03-20 DOI:10.1016/j.jpurol.2025.03.010

Nur Betul Sancak Demirci, Sevgi Kesici, Sibel Oba, Hacer Şebnem Turk, Ayse Surhan Cinar, Mesut Demir

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引用次数: 0

Abstract

Background: Hypospadias is one of the most common congenital anomalies observed in childhood and treated surgically. This study was designed to compare the postoperative analgesic efficacy of caudal block with sacral ESP block in children following hypospadias surgery.

Methods: This study was designed as a single-center, prospective, randomized, controlled, double-blinded study. A total of 68 male patients were included in the study, and they were divided into two groups: one with sacral ESP (Group ESP) and the other with caudal block (Group C), each group consisting of 34 patients. FLACC (Face, Legs, Activity, Cry, Consolability) scores of all patients were observed and recorded during the first 24 h postoperatively. FLACC scores were recorded at 5 min, 30 min, and 1, 2, 4, 6, 12, and 24 h postoperatively.

Results: The duration of analgesia in Group C (9.7 ± 2.8 h) was statistically significantly longer than in Group ESP (6.3 ± 1.6 h) (p < 0.001). FLACC scores in Group C (2.2 ± 0.5, 2.6 ± 0.6, 3.5 ± 1.5) were statistically significantly lower at 4 and 6 h and statistically significantly higher at 12 h postoperatively than those of Group ESP (2.7 ± 0.7, 4.1 ± 2, 2.7 ± 0.9) (p < 0.001). Group ESP (2.2 ± 0.4) mean FLACC value was found to be statistically significantly higher than that of Group C (1.9 ± 0.3) (p = 0.001). Patient relatives' satisfaction rate in Group C was statistically significantly higher than in Group ESP (p = 0.001).

Conclusion: In the present study, we found that caudal block resulted in a longer duration of postoperative analgesia and lower FLACC scores than ESP block in pediatric patients who underwent hypospadias surgery.

查看原文本刊更多论文

骶竖肌脊柱平面阻滞与尾侧阻滞在小儿尿道下裂修复术中的镇痛效果比较。

背景：尿道下裂是儿童时期最常见的先天性畸形之一，也是最常见的手术治疗方法。本研究旨在比较尾椎阻滞与骶ESP阻滞对尿道下裂手术患儿的术后镇痛效果：本研究是一项单中心、前瞻性、随机对照、双盲研究。研究共纳入 68 名男性患者，将他们分为两组：一组采用骶ESP阻滞（ESP组），另一组采用尾部阻滞（C组），每组34名患者。在术后 24 小时内观察并记录所有患者的 FLACC（面部、腿部、活动、哭泣、安慰）评分。在术后 5 分钟、30 分钟、1、2、4、6、12 和 24 小时记录 FLACC 评分：结果：C 组的镇痛持续时间（9.7 ± 2.8 小时）明显长于 ESP 组（6.3 ± 1.6 小时）（P在本研究中，我们发现在接受尿道下裂手术的小儿患者中，与 ESP 阻滞相比，C 组患者的术后镇痛持续时间更长，FLACC 评分更低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY

CiteScore

3.70

自引率

15.00%

发文量

330

审稿时长

4-8 weeks

期刊介绍： The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.