Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy

Comparison with caudal epidural block

Mostafa Somri, Luis A. Gaitini, Sonia Vaida, Boris Yanovski, Edmond Sabo, Nurit Levy, Avital Greenberg, Sofia Liscinsky, Oren Zinder

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: Both caudal epidural and ilioinguinal/iliohypogastric nerve blocks have been used to provide effective intra- and postoperative analgesia. Stress response hormone levels can be used as an objective method to assess the analgesic efficacy of the anaesthetic techniques used in infraumbilical surgery in children. In this study, we compared catecholamine blood levels in children undergoing these two different supplementary analgesic/anaesthetic techniques. Methods: Thirty male paediatric patients undergoing orchidopexy, ASA I, received inhalation general anaesthesia, and were randomly allocated to one of two groups: a caudal group (n = 15) and an ilioinguinal/iliohypogastric nerve block group (n = 15). Plasma epinephrine and norepinephrine concentrations were measured at the induction time, at the end of surgery, and in the postanaesthesia care unit. Postoperative pain score was also assessed in the postanaesthesia care unit. Results: In both groups, there was a substantial decrease in the catecholamine blood levels; however, there were significantly higher levels of epinephrine in the ilioinguinal group at the end of surgery (P = 0.008) and in the recovery room (P = 0.02) and a significant higher level of norpinephrine in the recovery room (P = 0.008). Conclusions: The result of this study revealed that caudal epidural block was more effective than ilioinguinal block in suppressing the stress response as reflected in epinephrine and norepinephrine blood levels in orchidopexy patients.

Original languageEnglish (US)
Pages (from-to)791-797
Number of pages7
JournalPaediatric Anaesthesia
Volume12
Issue number9
DOIs
StatePublished - Dec 1 2002

Fingerprint

Orchiopexy
Nerve Block
Epinephrine
Catecholamines
Recovery Room
Analgesics
Anesthetics
Norepinephrine
Inhalation Anesthesia
Postoperative Pain
Analgesia
General Anesthesia
Hormones
Pediatrics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Anesthesiology and Pain Medicine

Cite this

Somri, Mostafa ; Gaitini, Luis A. ; Vaida, Sonia ; Yanovski, Boris ; Sabo, Edmond ; Levy, Nurit ; Greenberg, Avital ; Liscinsky, Sofia ; Zinder, Oren. / Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy : Comparison with caudal epidural block. In: Paediatric Anaesthesia. 2002 ; Vol. 12, No. 9. pp. 791-797.
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abstract = "Background: Both caudal epidural and ilioinguinal/iliohypogastric nerve blocks have been used to provide effective intra- and postoperative analgesia. Stress response hormone levels can be used as an objective method to assess the analgesic efficacy of the anaesthetic techniques used in infraumbilical surgery in children. In this study, we compared catecholamine blood levels in children undergoing these two different supplementary analgesic/anaesthetic techniques. Methods: Thirty male paediatric patients undergoing orchidopexy, ASA I, received inhalation general anaesthesia, and were randomly allocated to one of two groups: a caudal group (n = 15) and an ilioinguinal/iliohypogastric nerve block group (n = 15). Plasma epinephrine and norepinephrine concentrations were measured at the induction time, at the end of surgery, and in the postanaesthesia care unit. Postoperative pain score was also assessed in the postanaesthesia care unit. Results: In both groups, there was a substantial decrease in the catecholamine blood levels; however, there were significantly higher levels of epinephrine in the ilioinguinal group at the end of surgery (P = 0.008) and in the recovery room (P = 0.02) and a significant higher level of norpinephrine in the recovery room (P = 0.008). Conclusions: The result of this study revealed that caudal epidural block was more effective than ilioinguinal block in suppressing the stress response as reflected in epinephrine and norepinephrine blood levels in orchidopexy patients.",
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Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy : Comparison with caudal epidural block. / Somri, Mostafa; Gaitini, Luis A.; Vaida, Sonia; Yanovski, Boris; Sabo, Edmond; Levy, Nurit; Greenberg, Avital; Liscinsky, Sofia; Zinder, Oren.

In: Paediatric Anaesthesia, Vol. 12, No. 9, 01.12.2002, p. 791-797.

Research output: Contribution to journalArticle

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T1 - Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy

T2 - Comparison with caudal epidural block

AU - Somri, Mostafa

AU - Gaitini, Luis A.

AU - Vaida, Sonia

AU - Yanovski, Boris

AU - Sabo, Edmond

AU - Levy, Nurit

AU - Greenberg, Avital

AU - Liscinsky, Sofia

AU - Zinder, Oren

PY - 2002/12/1

Y1 - 2002/12/1

N2 - Background: Both caudal epidural and ilioinguinal/iliohypogastric nerve blocks have been used to provide effective intra- and postoperative analgesia. Stress response hormone levels can be used as an objective method to assess the analgesic efficacy of the anaesthetic techniques used in infraumbilical surgery in children. In this study, we compared catecholamine blood levels in children undergoing these two different supplementary analgesic/anaesthetic techniques. Methods: Thirty male paediatric patients undergoing orchidopexy, ASA I, received inhalation general anaesthesia, and were randomly allocated to one of two groups: a caudal group (n = 15) and an ilioinguinal/iliohypogastric nerve block group (n = 15). Plasma epinephrine and norepinephrine concentrations were measured at the induction time, at the end of surgery, and in the postanaesthesia care unit. Postoperative pain score was also assessed in the postanaesthesia care unit. Results: In both groups, there was a substantial decrease in the catecholamine blood levels; however, there were significantly higher levels of epinephrine in the ilioinguinal group at the end of surgery (P = 0.008) and in the recovery room (P = 0.02) and a significant higher level of norpinephrine in the recovery room (P = 0.008). Conclusions: The result of this study revealed that caudal epidural block was more effective than ilioinguinal block in suppressing the stress response as reflected in epinephrine and norepinephrine blood levels in orchidopexy patients.

AB - Background: Both caudal epidural and ilioinguinal/iliohypogastric nerve blocks have been used to provide effective intra- and postoperative analgesia. Stress response hormone levels can be used as an objective method to assess the analgesic efficacy of the anaesthetic techniques used in infraumbilical surgery in children. In this study, we compared catecholamine blood levels in children undergoing these two different supplementary analgesic/anaesthetic techniques. Methods: Thirty male paediatric patients undergoing orchidopexy, ASA I, received inhalation general anaesthesia, and were randomly allocated to one of two groups: a caudal group (n = 15) and an ilioinguinal/iliohypogastric nerve block group (n = 15). Plasma epinephrine and norepinephrine concentrations were measured at the induction time, at the end of surgery, and in the postanaesthesia care unit. Postoperative pain score was also assessed in the postanaesthesia care unit. Results: In both groups, there was a substantial decrease in the catecholamine blood levels; however, there were significantly higher levels of epinephrine in the ilioinguinal group at the end of surgery (P = 0.008) and in the recovery room (P = 0.02) and a significant higher level of norpinephrine in the recovery room (P = 0.008). Conclusions: The result of this study revealed that caudal epidural block was more effective than ilioinguinal block in suppressing the stress response as reflected in epinephrine and norepinephrine blood levels in orchidopexy patients.

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