A Comparison Between Caudal Epidural Analgesia and Paracetamol Suppository in Relieving Pain after Inguinal Hernia Repair in Pediatric Age Group

Abstract

Background: the control of postoperative pain is important in children, and poor pain control leads to organdysfunction and behavioral problem.Aim of study: we compare the analgesic effect of bupivacaine by caudal block root and acetaminophen suppositoryon postoperative pain in pediatric inguinal hernial repair surgery.Patient and Methods: A prospective, randomized, controlled trail of 40 children, aged between (1-7 years), ASAgrade I-II, scheduled for elective day case unilateral inguinal surgery. For all the patients included in this study,a standardized controlled anesthetic protocol was used. Preoperatively the patients were randomized into twogroups according to the operation waiting lists. group 1 included (18) patients who received single - shot caudalblock with (1ml/kg) of 25% bupivacaine preoperatively after induction of anesthesia by the anesthetist, group 2included (22) patients who received (15-20 mg/kg) acetaminophen suppository.Results: The number of patients (who had first three hours free of pain); was significantly higher in the Caudalgroup than those of the other group. Patients of the Caudal group; needed significantly a longer duration of timefor the first analgesic drug. Patients of the Caudal group; had significantly a lower (Face, Legs, Activity, Cry,Consolability scale) in (1/2, 1, and 2 hours) time intervals of the study.Conclusion: Caudal anesthesia with bupivacaine has better painless period postoperatively.