Version 1
: Received: 24 May 2024 / Approved: 27 May 2024 / Online: 27 May 2024 (08:56:14 CEST)
How to cite:
Hofmann, A.; Koller, B.; Vauth, F.; Zöhrer, P. I.; Badelt, G.; Rösch, W. H. Agony of Choice: Caudal Block versus Inguinal Block in Unilateral Orchidopexy. Preprints2024, 2024051703. https://doi.org/10.20944/preprints202405.1703.v1
Hofmann, A.; Koller, B.; Vauth, F.; Zöhrer, P. I.; Badelt, G.; Rösch, W. H. Agony of Choice: Caudal Block versus Inguinal Block in Unilateral Orchidopexy. Preprints 2024, 2024051703. https://doi.org/10.20944/preprints202405.1703.v1
Hofmann, A.; Koller, B.; Vauth, F.; Zöhrer, P. I.; Badelt, G.; Rösch, W. H. Agony of Choice: Caudal Block versus Inguinal Block in Unilateral Orchidopexy. Preprints2024, 2024051703. https://doi.org/10.20944/preprints202405.1703.v1
APA Style
Hofmann, A., Koller, B., Vauth, F., Zöhrer, P. I., Badelt, G., & Rösch, W. H. (2024). Agony of Choice: Caudal Block versus Inguinal Block in Unilateral Orchidopexy. Preprints. https://doi.org/10.20944/preprints202405.1703.v1
Chicago/Turabian Style
Hofmann, A., Gregor Badelt and Wolfgang H. Rösch. 2024 "Agony of Choice: Caudal Block versus Inguinal Block in Unilateral Orchidopexy" Preprints. https://doi.org/10.20944/preprints202405.1703.v1
Abstract
Objective: This prospective study aimed to compare the efficacy of caudal block (CB) and inguinal block (IB) for providing additional analgesia during unilateral orchidopexy. Methods: Seventy-two boys aged <48 months, classified as ASA I/II, were assigned into CB (n=37) and IB (n=34) groups. Outcome measures included intra- and postoperative analgesic requirements, pain scores, and administration duration. Additional intraoperative analgesia was administered for a 10% increase in heart rate, while postoperative pain was assessed using the Children's and Infants Postoperative Pain Scale (CHIPPS), with scores >4 prompting supplementary analgesia. Monitoring extended for 24 hours post-surgery. Results: CB significantly reduced the need for intraoperative (p<0.001) and early postoperative (p=0.008) analgesia compared to IB. Although the CB group exhibited a slightly higher but non-significant analgesic requirement on the ward. No clinically relevant side effects were observed in either group. Conclusion: Both CB and IB are effective and safe methods for providing regional analgesia during orchidopexy. CB demonstrated superior efficacy intraoperatively and in the early postoperative period, while IB may offer advantages in the later recovery phase. However, additional analgesia is often required for orchidopexy, particularly in outpatient settings.
Keywords
inguinal surgery; regional anesthesia, ultrasound-guided, intra-/postoperative pain, ambulant surgery
Subject
Medicine and Pharmacology, Anesthesiology and Pain Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
