Eficacia del esquema hannallah vs armitage en cirugías de abdomen inferior en niños de los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga 2013

Abstract

Objective: To determine the efficacy in controlling the trans and postoperative pain of the Hannallah and Armitage caudal block techniques.

Materials and Methods: With a randomized controlled clinical design, two analgesic schemes of regional anesthesia were included. Group one consisted of sixty four participants and group two consisted of sixty two participants from one to eleven years old. Group 1: Hannallah blocking. The dose was calculated to 2mg per kg of 0,5 % bupivacaine and volume of 0.5ml, 0.75 or 1ml/kg to the desired dermatome.

Group 2: Armitage blocking. The volume was used at 0.5, 0.75 or 1ml /kg according to the desired dermatome with 0,25 % bupivacaine in patients of the pediatric ward of Vicente Corral Moscoso and José Carrasco Arteaga Hospitals. Hemodynamic changes, analgesic efficacy in trans and postoperative, potential adverse effects, quality control pain for 2 and a half hours were measured.

Results: The groups were comparable on the variables of age, sex, and weight. Both schemes have demonstrated effective control of pain in the trans and postoperative with (p of 0,50). ). Heart rate in the trans-surgical and the recovery remained in (p 0.63 and 0.94) respectively. Blood pressure did not show a significant difference with (p 0.74 and 0.85) in the trans and postoperative. With respect to side effects, the incidence was similar with (p 0.078).

Discussion: The controversy between these two schemes is not given, as it can be clearly seen that the two blocks control efficiently and safely pain, with minimal adverse effects

KEY WORDS: HANNALLAH BLOCKING; ARMITAGE BLOCKING; CAUDAL BLOCK; BUPIVACAINE; PEDIATRIC; VICENTE CORRAL MOSCOSO HOSPITAL; JOSE CARRASCO ARTEAGA HOSPITAL; CUENCA.