caa a22 4500 606245669 CHVBK 20210128101336.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-015-1301-0 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1301-0 Application of Ultrasound-Guided Ilioinguinal/Iliohypogastric Nerve Block in Pediatric Same-Day Surgery [Elektronische Daten] [Lihua Yang, Yucan Xu, Zhongyu Wang, Wei Zhang] The aim of this study was to evaluate the safety and efficacy of ultrasound-guided ilioinguinal/iliohypogastric nerve block (IINB) in pediatric patients undergoing same-day inguinal region surgery. Ninety patients aged 4-6years, ASA levels I-II, were randomly divided into three groups: U, T, or C (n = 30 each). After basic anesthesia, patients in group U underwent ultrasound-guided IINB, those in group T underwent traditional Schulte-Steinberg IINB, and those in group C (controls) received intravenous anesthesia (ketamine-propofol) only. Patients who remained sensitive to intraoperative stimuli received additional intravenous doses of 1mg/kg ketamine. Heart rate (HR), mean arterial pressure (MAP), and oxygen saturation (SPO2) were recorded upon entering the operating room (T0), at skin incision (T1), while pulling the hernia sac (T2), during skin closing (T3), and upon awakening (T4) at recovery. HR and MAP at T1, T2, and T4 were higher in group C than those in the other two groups, and recovery time in group C was significantly prolonged (P < 0.05). Group U required significantly lower quantities and frequency of ketamine injection, and pain scores in group U during awakening were lower than those in the other two groups (P < 0.05). Ultrasound-guided IINB provided an improved nerve block effect and postoperative analgesia, reduced the amount of local anesthetic required, facilitated more rapid postoperative recovery, and was a safe and effective method of anesthesia. Association of Surgeons of India, 2015 Ultrasonography nationallicence Ilioinguinal/iliohypogastric nerve nationallicence Nerve block nationallicence Daytime surgery nationallicence Yang Lihua Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut Xu Yucan Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut Wang Zhongyu Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut Zhang Wei Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut Indian Journal of Surgery Springer India 77/6(2015-12-01), 512-516 0972-2068 77:6<512 2015 77 12262 https://doi.org/10.1007/s12262-015-1301-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1301-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yang Lihua Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut NATIONALLICENCE 700 1- Xu Yucan Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut NATIONALLICENCE 700 1- Wang Zhongyu Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut NATIONALLICENCE 700 1- Zhang Wei Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Zhongyuan District, 450052, Zhengzhou, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/6(2015-12-01), 512-516 0972-2068 77:6<512 2015 77 12262