Evaluation of single low-dose caudal epidural block effectiveness in children undergoing circumcision surgery: Single center experience

Abstract

The aim of this study was to evaluate the effectiveness of a single-dose caudal epidural block administered during circumcision surgery on postoperative analgesia. The study was conducted with the permission of the local ethics committee by screening the files of the patients with ASA I status between the ages of 4-9 years who had undergone circumcision surgery under general anesthesia at the Anesthesiology and Resuscitation Department of a training and research hospital between July 2018 and January 2019. Data were collected by using the anesthesia follow-up form of the participants and the Children’s Hospital of Eastern Ontario Pain Scale when post-operative pain was evaluated. Descriptive statistics of the constant numerical variables were presented with median, IQR [interquartile range] while number (n) and percentage (%) were used for the categorical variables. A total of 149 patient files were screened within the scope of the study. The median [IQR] age was 7 [6-9] years. No side effect developed and no analgesic was required during hospitalization in any patient. The median [IQR] of CHEOPS score was 4 [4-4] with a range of 4 to 6. When asked, 98.0% of the parents said that they were perfectly satisfied with the surgery. Effective postoperative analgesia was provided without any side effects or complications with the use of 0.25% bupivacaine at a low single dose of 0.2 ml/kg for caudal epidural block in the pediatric population undergoing circumcision surgery. [Med-Science 2020; 9(3.000): 545-8]

Keywords

• caudal epidural block
• postoperative pain
• cheops
• parent satisfaction
• analgesia