Caudal Epidural Block versus Combined Ilioinguinal and Iliohypogastric Nerve Block for Post-Operative Analgesia in Pediatric Surgeries Below the Umbilicus

Objective: To compare the duration and effectiveness of postoperative analgesia provided by caudal block versus combined Ilioinguinal Iliohypogastric nerve in pediatric infra-umbilical surgeries.Study Design: Quasi-experimental.Place Duration Study: The study was carried out at Anesthesia Department Pak Emirates Military Hospital (PEMH) Rawalpindi, Pakistan, from June 2021 to December 2021.Materials Methods: Sample size calculated WHO sample calculator using population received 6 months. filtered down purposive sampling 80 (children aged 5-10 years) a pre-defined inclusion/exclusion criterion scheduled for below umbilicus surgeries. They were alternatively divided into two equal groups (n=40) where Group-C Group-I ultrasound-guided block. Both underwent same general anesthesia technique with I-gel similar medications inductions. Our primary outcome measure Revised Faces Pain Scale, p-value <0.05 considered significant. secondary outcomes measured motor urinary retention.Results: Median revised Score (FPS-R) immediately after surgery 1.50(1) 0.00(1) Group I, respectively. At 4 hours postoperatively, median FPS-R 4.00(2), it 2.00(0). After 8 hours, had 6.50(1) pain scores 3.00(1). 12 postoperatively 8.00(1) 5.00(1), demographic characteristics patients comparable both surgery. reported some cases side effects, such as retention, while did not have any these effects. All anesthetic procedures otherwise adverse events.Conclusion: demonstrated that furnished efficient post-operative requiring smaller amounts local anesthetics avoiding effects It is an ideal regional surgeries populations busy centres.