European Journal of Molecular & Clinical Medicine

Abstract

Background, Aim and Objectives: Using an innovative anaesthetic approach, ultrasound-guided ilioinguinal and iliohypogastric nerve block, postoperative discomfort can be reduced. In a tertiary care institution, a comparison of the effectiveness of the landmark technique and the ultrasound-guided technique was made on paediatric patients undergoing ilioinguinal/iliohypogastric nerve blocks. The main goal is to analyse the effectiveness of analgesia during the intraoperative period. This is done by measuring the patient's hemodynamics at any time, including their blood pressure, heart rate, spo2, and electrocardiogram. After surgery, the pain is measured using the VAS score. Comparing the complications and the quantity of rescue analgesia in the two groups is the secondary goal. Methods: Included in the inclusion criteria were 60 children between the ages of 2 and 8 who met the physical status requirements of the American Society of Anesthesiologists, as well as informed agreement from the parents and approval from the institution's ethics committee. Participants in the trial were posted for elective hernia repair. Any ILIH contraindication, such as a surgical scar or deformed anatomy at the injection site, qualified as an exclusion. ASA grade III. Patients needing emergency surgery, those with bleeding disorders, sepsis, skin lesions or wounds at the proposed incision site, the parents' reluctance, or infections at the injection site. Recognised allergy to LA kids with a history of heart, lung, liver, or kidney illness. All these patients were excluded from study.
Results and Conclusion: In our investigation, group B participants had an ultrasound-guided 0.3ml/kg bupivacaine block of the ilioinguinal and iliohypogastric nerves, while group A participants received a 0.3kl/kg bupivacaine block of the iioinguinal and iiohypogastric nerves using the landmark technique. In this study, we discovered that Group B individuals had lower visual analogue scores, prolonged postoperative analgesia and decreased analgesic intake within the first twelve hours following surgery. Based on the results of our investigation, we discovered a unique and highly successful technique for postoperative pain
treatment in inguinal hernia patients: ultrasound guided ilioinguinal and iliohypogastric nerve block utilising long acting local anaesthetic.