Nasibova EM*, Polukhov RSh and Polukhova A

Azerbaijan Medical University, Baku, Azerbaijan

*Corresponding Author: Nasibova EM, Azerbaijan Medical University, Baku, Azerbaijan.

Received: October 27, 2022; Published: November 29, 2022

Abstract

Background: The frequency of anorectal malformations worldwide is 1:2000-1:5000 newborns. Surgical correction for anorectal malformations is a significant operation, accompanied by severe pain. Currently, little research is available on the use of caudal block for anorectal malformation surgery. We hypothesized that general anesthesia combined with a caudal blockade could effectively relax the anal muscles, which significantly reduces the complexity of the operation and shortens the duration of the operation. In this study, we evaluated the effect of caudal blockade on the duration of the operation and on postoperative pain relief.

Methods: The research work was carried out in the surgical clinic of the AMU. The study included 65 children aged 0 to 3 years at risk of ASA class II anesthesia. Depending on the method of anesthesia, the patients were divided into two groups: group I - patients with general anesthesia and group II - general anesthesia in combination with caudal blockade.

Results: The recovery time after extubation in the general anesthesia + caudal block group was significantly shorter than in the general anesthesia group (17.05 ± 4.7 min vs. 10.79 ± 4.2 min, P < 0.01). Hemodynamic changes (HR, SBP and DBP) during operations between the two groups were similar before intubation and at the beginning of the operation (P > 0.05). During the traumatic moment of the operation, the average heart rate in group II (general anesthesia + caudal block) was significantly lower than in group I (general anesthesia) (130.72 ± 17.74 versus 115.28 ± 16.19, p = 0.010), but there are significant differences in SBP or DBP between the two groups.

Conclusion: General anesthesia in combination with a caudal block is an effective, safe method of anesthesia for complex surgical interventions for anorectal malformations in newborns and young children. This technique allows to reduce the duration of the operation and improves the postoperative period.

Keywords: General Anesthesia; Caudal Block; SEVOFLURAN

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Citation

Citation: Nasibova EM., et al. “Caudal Anesthesia as an Alternative for Surgical Interventions for the Correction of Anorectal Malformations in Newborns and Young Children". Acta Scientific Paediatrics 5.12 (2022): 25-31.

Copyright

Copyright: © 2022 Nasibova EM., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.