Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 982-985
ZHANG Guang-lei, ZHANG Ping, FENG Xue-hui, DUAN Rui, FAN Hui-min, CHENG Feng, HU Jun, LI Ren-hu. Application of ultrasound-guided sacral canal block in laparoscopic inguinal hernia surgery in children[J]. Chinese Journal of General Practice, 2022, 20(6): 982-985. doi: 10.16766/j.cnki.issn.1674-4152.002504
Citation: ZHANG Guang-lei, ZHANG Ping, FENG Xue-hui, DUAN Rui, FAN Hui-min, CHENG Feng, HU Jun, LI Ren-hu. Application of ultrasound-guided sacral canal block in laparoscopic inguinal hernia surgery in children[J]. Chinese Journal of General Practice, 2022, 20(6): 982-985. doi: 10.16766/j.cnki.issn.1674-4152.002504
shu

Application of ultrasound-guided sacral canal block in laparoscopic inguinal hernia surgery in children

doi: 10.16766/j.cnki.issn.1674-4152.002504
  • 1.

    Department of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui 237005, China

Funds:

 81901086

 2019xkj210

  • Received Date: 2021-05-12
    Available Online: 2022-09-21
    Abstract
  •   Objective  To investigate the role of sacral canal blocks in paediatric laparoscopic hernia surgery.  Methods  Ninety children (American Society of Anesthesiologist grade Ⅰ-Ⅱ, aged 1-8 years old) undergoing elective inguinal hernia repair in Lu'an people's hospital were divided into the control group (group C) and sacral canal group (D) by random number table method, with 45 cases in each group.Group D underwent sacral canal puncture after general anaesthesia intubation, and all patients were injected with 1 mL/kg of 0.2% ropivacaine after successful puncture, whereas group C did not have sacral canal block.The Narcotrend index (NI) was maintained at C2-D1(69-47) for both groups.The heart rate (HR) and mean arterial pressure (MAP) of children in both groups were evaluated before anaesthesia, 5 min after sacral block, at the beginning of surgery, at the end of surgery and at extubation.The children's face legs activity crying consolability (FLACC) scores were recorded at the time of extubation and 4, 8, 12, 16 and 24 h postoperatively.The postoperative agitation score, agitation incidence, nausea, vomiting and urinary retention was recorded.  Results  The FLACC pain scores of children in group D at tube drawing time[(3.75±0.71) points vs.(5.84±0.97) points], 4 h after operation[(3.02±0.50) points vs.(4.88±0.71) points]and 8 h after operation[(2.91±0.36) points vs.(4.53±0.75) points]were significantly lower than those in group C (all P < 0.05).When the children in group D woke up, their agitation score (2.44±0.54) and agitation incidence (6.67%) were significantly lower than those in group C[(3.29±0.69) points and 22.22%, all P < 0.05].There was no statistical significance in general situation, operation time, waking time, HR, MAP and postoperative adverse reaction incidence between the two groups of children (all P>0.05).  Conclusion  Sacral canal block can effectively reduce the incidence of waking agitation, which has excellent postoperative pain relief and can accelerate recovery after operation.

     

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