Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics
Al-Kershawy, A., Noor El-Din, T., Abd-Elsalam, M., Ismail, H. (2020). Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics. EKB Journal Management System, 2(4), 705-711. doi: 10.21608/ijma.2020.23762.1099
Ahmed Atya Al-Kershawy; Tawfik Mohamed Noor El-Din; Mahmoud Ahmed Abd-Elsalam; Hany Said Ismail. "Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics". EKB Journal Management System, 2, 4, 2020, 705-711. doi: 10.21608/ijma.2020.23762.1099
Al-Kershawy, A., Noor El-Din, T., Abd-Elsalam, M., Ismail, H. (2020). 'Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics', EKB Journal Management System, 2(4), pp. 705-711. doi: 10.21608/ijma.2020.23762.1099
Al-Kershawy, A., Noor El-Din, T., Abd-Elsalam, M., Ismail, H. Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics. EKB Journal Management System, 2020; 2(4): 705-711. doi: 10.21608/ijma.2020.23762.1099

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

International Journal of Medical Arts
Article 4, Volume 2, Issue 4, October 2020, Page 705-711  XML PDF (2.26 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2020.23762.1099
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Authors
Ahmed Atya Al-Kershawy email 1; Tawfik Mohamed Noor El-Din2; Mahmoud Ahmed Abd-Elsalam3; Hany Said Ismail2
1Departments of Anesthesia and Intensive care, Faculty of Medicine, Al-Azhar University, Damietta
2Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo.
3Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Asiut.
Abstract
Background: Regional anesthesia in pediatric surgery alone or combination with light general anesthesia provides several advantages, the most significant is intra- and post-operative pain relief. 
Aim of the work: This study aimed to compare spinal to caudal anesthesia in children undergoing lower abdominal surgeries regarding [sensory and motor block as a primary outcome], hemodynamics and postoperative pain as a secondary outcome.
Patients and Methods:This study was a prospective randomized comparative clinical single-blind study. It included 40 children [ASA I or II] of both sexes, aged [3-9 years] undergoing lower abdominal surgeries. Patients were randomly assigned into one of two groups [20 patients in each group]. group [S] undergo spinal anesthesia, group [C] undergoes caudal anesthesia. To assess the following parameters; sensory and motor block, heart rate, mean arterial blood pressure and postoperative pain.
Results: Spinal anesthesia has a rapid onset of sensory block, more intensity than caudal anesthesia, but of shorter duration. Caudal anesthesia provides more time of motor block than spinal anesthesia. There was no statistically significant difference between groups regarding mean arterial pressure, but caudal anesthesia has more tachycardia than spinal anesthesia, and caudal anesthesia provides better postoperative analgesia more than spinal anesthesia.
Conclusion: Regional anesthesia in pediatrics is an effective and safe option. Caudal and spinal are both effective, however caudal have relatively more duration of postoperative analgesia and motor block than spinal anesthesia.
Keywords
Anesthesia; Caudal; Spinal; Pediatrics; Surgery
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