الفهرس 
Ultrasounded-guided nerve blocksOnly 14 pages are availabe for public view
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Abstract
Summary Summary
Worldwide pediatric regional anesthesia continues to evolve. In some countries, regional anesthesia forms part of the anesthetic culture, and it is almost expected that analgesia is provided for children after surgery. The use of regional anesthesia in children remains limited in some institutions because of the perception that the advantages of regional anesthesia over opiate analgesia does not worth the potential risks.
This explosive growth, particularly in the use of truncal blocks, can be attributed in part to the refinement of anatomically based ultrasound imaging to facilitate nerve localization. Ultrasound guidance allows visualization of important anatomical structures and therefore can overcome the traditional obstacles of in advert important structures injury in infant‟s delicate soft tissues.
Ilioinguinal/iliohypogastric nerve blockade is one of the most common peripheral nerve block techniques in pediatric anesthesia and has been shown to be equally effective compared with caudal blockade for inguinal surgeries.
The transversus abdominis plane (TAP) block is a peripheral nerve block designed to anesthetize the nerves supplying the anterior abdominal wall.
The ultrasound transversus abdominis plane (TAP) block has gained popularity for intraoperative and postoperative pain
Summary
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management in a variety of abdominal surgical procedures in adult, pediatric and neonatal patients.
The present study was conducted on 80 male children aged from one to five years old, ASA physical status I–II scheduled for elective inguinal hernia repair and hydrocelectomy 40 patients received ultrasound-guided ilioinguinal/ iliohypogastric nerve block and 40 patients received ultrasound-guided Transversus abdominis plane block for comparison of intraoperative and postoperative analgesia and incidence of complications.
This study showed that ultrasound-guided ilioinguinal/iliohypogastric nerve block was effective as ultrasound-guided Transversus Abdominis plane block in controlling pain intraoperative and early postoperative period, but ultrasound-guided ilioinguinal/iliohypogastric nerve block provides earlier onset of action and longer duration of postoperative analgesia when compared to ultrasound-guided Transversus Abdominis plane block.