Eralp ÇEVİKKALP, Gülay OK, Koray ERBÜYÜN, Demet AYDIN, İdil TEKİN

Çocuklarda Alt Karın Cerrahisi Sonrası Postoperatif Analjezi için Ultrason Kılavuzluğunda Transversus Abdominis Düzlem Bloğu ile Kaudal Bloğun Karşılaştırılması

Amaç: Kaudal anestezi çocuklarda alt batın cerrahilerinde postoperative analjezide kullanılan popüler bir tekniktir. Anestezisitler Kaudal bloğun sınırlamalarından ötürü alternatif rejyonel anestezi tekniklerini araştırmak zorunda kalmışlardır. Çalışmamızda; kaudal blok ve ultrason yardımlı Transversus abdominis plane (TAP) bloğun postoperatif analjezide etkinliğini ve güvenilirliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: Çalışma ASA 1-II, 2-10 yaş aralığında alt batın cerrahisi operasyonu olan hastalarda yapıldı. grup C de (kaudal blok, n: 31), 0,3 mL.kg-1 ve grup T (TAP blok, n: 30), 0,5 mL.kg-1 0,25 % levobupivacaine ameliyat sonunda uygulandı. Hastalar postoperatif 0., 1., 4., 6. saatlerde revize edilmiş yüzler skalası (FPS-R) kullanılarak ağrı skorları açısından değerlendirildi. Analjezik tüketimi, komplikasyonlar ve yan etkiler kaydedildi. Bulgular: İki grup arasında demografik verilerde anlamlı bir fark yoktu. TAP bloğu için kullanılan lokal anestezik miktarı kaudal bloktan daha fazlaydı (T: 8,3 ± 4,3 ml> C: 4,1 ± 0,9 ml) (p

Comparison of Ultrasound-Guided Transversus Abdominis Plane Block vs Caudal Block for Postoperative Analgesia After Lower Abdomen Surgery in Children

Introduction: Caudal anesthesia is a very popular postoperative analgesia technique for pediatric lower abdominalsurgery. Because of the limitations of caudal block anesthesiologists need to search for alternative regional anesthesiatechniques. This study aims to compare the effects and safety of Ultrasound-assisted TAP block and caudal block inpostoperative analgesia.Materials and Method: The study was conducted in ASA grade I-II, 2-10 years aged cases scheduled for lowerabdominal surgery. At group C (caudal block, n:31), 0,3 mL.kg-1 and at group T (TAP block, n:30), 0,5 mL.kg-1 0,25% levobupivacaine applied at the end of surgery. Patients were assessed for the quality of pain relief by using facespain scale-revised (FPS-R) at 0., 1., 4., 6., hours of the postoperative period. Analgesic consumption, complicationsand adverse effects was recorded.Results: Between two group there were no significant differences at demographical data. The local anesthetic volumeused for TAP block was more than caudal block (T:8,3±4,3 ml> C: 4,1±0,9 ml ) (p

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