Abstract：
BACKGROUND: Caudal block (CB) and erector spina plane block (ESPB) have been shown to provide effective postoperative analgesia following circumcision. Our aim was to compare the analgesic efficacy of sacral ESPB and CB, as well as the time to first analgesic requirement and postoperative complications.
METHODS: Patients aged 1-7 years in the ASA I-II group, who were scheduled for circumcision, were included in the study. Blocks were performed under general anesthesia before the operation. Postoperative pain was evaluated using the Face, Legs, Activity, Cry, and Consolability (FLACC) scores. Analgesic requirements in the first 24 h postsurgery, the time of first analgesia requirement, and postoperative complications were recorded.
RESULTS: A total number of 150 patients were included in the study. In the CB group, urinary retention was observed. No side effects were observed in the sacral ESPB group. The 4th and 6th h postoperative FLACC scores were lower in the ESP group. The number of analgesic consumption in the first 24 h postsurgery was significantly lower in the ESPB group (p < 0.001).
CONCLUSIONS: Based on our results, sacral ESPB performed with ultrasonography is a simple and safe regional anesthesia method that can be used to provide effective postoperative analgesia for circumcision.
METHODS: Patients aged 1-7 years in the ASA I-II group, who were scheduled for circumcision, were included in the study. Blocks were performed under general anesthesia before the operation. Postoperative pain was evaluated using the Face, Legs, Activity, Cry, and Consolability (FLACC) scores. Analgesic requirements in the first 24 h postsurgery, the time of first analgesia requirement, and postoperative complications were recorded.
RESULTS: A total number of 150 patients were included in the study. In the CB group, urinary retention was observed. No side effects were observed in the sacral ESPB group. The 4th and 6th h postoperative FLACC scores were lower in the ESP group. The number of analgesic consumption in the first 24 h postsurgery was significantly lower in the ESPB group (p < 0.001).
CONCLUSIONS: Based on our results, sacral ESPB performed with ultrasonography is a simple and safe regional anesthesia method that can be used to provide effective postoperative analgesia for circumcision.
摘要：
背景：已证明在包皮环切术后提供有效的术后镇痛。我们的目的是比较骶骨ESPB和CB的镇痛效果，以及首次镇痛的时间和术后并发症。
方法：ASAI-II组1-7岁患者，他们被安排去包皮环切术,包括在研究中。术前在全身麻醉下进行阻滞。术后疼痛使用面部评估，腿,活动,哭吧,和可协性(FLACC)评分。术后最初24小时的镇痛要求，第一次镇痛需求的时间，记录术后并发症。
结果：本研究共纳入150名患者。在CB组中，观察到尿潴留。骶骨ESPB组未观察到副作用。ESP组术后第4、6hFLACC评分较低。ESPB组术后24h内的镇痛剂用量明显较低(p<0.001)。
结论：根据我们的结果，骶ESPB超声检查是一种简单安全的区域麻醉方法，可用于包皮环切术后有效的镇痛。
方法：ASAI-II组1-7岁患者，他们被安排去包皮环切术,包括在研究中。术前在全身麻醉下进行阻滞。术后疼痛使用面部评估，腿,活动,哭吧,和可协性(FLACC)评分。术后最初24小时的镇痛要求，第一次镇痛需求的时间，记录术后并发症。
结果：本研究共纳入150名患者。在CB组中，观察到尿潴留。骶骨ESPB组未观察到副作用。ESP组术后第4、6hFLACC评分较低。ESPB组术后24h内的镇痛剂用量明显较低(p<0.001)。
结论：根据我们的结果，骶ESPB超声检查是一种简单安全的区域麻醉方法，可用于包皮环切术后有效的镇痛。
