Kamal, R., Al-Sudani, R., Kamal, M., Jabbar, A. (2022). Comparison between Caudal Block and Saddle Block in Anorectal Surgery. , 21(1), 22-29. doi: 10.52573/ipmj.2021.174067
Ruaa Kamal; Raghad Hannon Al-Sudani; Marwa Alaa Kamal; Alaa Kamal Jabbar. "Comparison between Caudal Block and Saddle Block in Anorectal Surgery". , 21, 1, 2022, 22-29. doi: 10.52573/ipmj.2021.174067
Kamal, R., Al-Sudani, R., Kamal, M., Jabbar, A. (2022). 'Comparison between Caudal Block and Saddle Block in Anorectal Surgery', , 21(1), pp. 22-29. doi: 10.52573/ipmj.2021.174067
Kamal, R., Al-Sudani, R., Kamal, M., Jabbar, A. Comparison between Caudal Block and Saddle Block in Anorectal Surgery. , 2022; 21(1): 22-29. doi: 10.52573/ipmj.2021.174067

Comparison between Caudal Block and Saddle Block in Anorectal Surgery

Iraqi Postgraduate Medical Journal
Article 4, Volume 21, Issue 1, 2022, Pages 22-29    PDF (246.95 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2021.174067
Authors
Ruaa Kamal1; Raghad Hannon Al-Sudani2; Marwa Alaa Kamal3; Alaa Kamal Jabbar4
1Specialist of Anesthesia and Intensive Care Unit in Maysan Maternity Hospital /Amarah, Maysan, Iraq
2Cosultant Anesthetist in Renal Transplant Center in Ghazi al-Hariri surgical Specialist Hospital /Baghdad, Iraq
3Specialist of Family Medicine in Urban Health Center /Baghdad, Iraq
4Clinical Biochemistry /College of Science/ Al - Mustansiriyah University, Baghdad, Iraq
Abstract
BACKGROUND:
Anorectal surgery includes pilonidal sinus, hemorrhoidectomy, anal fissure, and anal fistula operations. Various surgical and anesthetic techniques have been used to increase the level of patients perioperative analgesia and decrease the length of stay in the hospital.                       
AIM OF STUDY:
To compare the effectiveness of saddle block and caudal block during anorectal surgery on patients' perioperative hemodynamic values, onset of  sensory and motor block, mobility and frequency of analgesia given post op.
PATIENTS AND METHODS:
80 patients underwent anorectal surgery were randomly allocated into 2 equallygroups, caudal block was applied to the 1st group 40pt. and saddle block was applied to the 2nd group 40 patients .Onset of Sensory and motor block was recorded. Heart rate, systolic arterial pressure, diastolic arterial pressure and oxygen saturation were measured every 3 minutes until the end of the operation. In postoperative period the frequency of rescue analgesic drugs given and duration of staying in hospital were recorded.
RESULTS:
In both groups, there were no changes in hemodynamic profile. No motor block was detected in group B but noted in group A. Onset of sensory nerve block in group B was more rapid than in group A and duration of post operative  analgesia was shorter than that in group A. Early discharge from hospital was associated with group B in comparison with group A.
CONCLUSION:
Saddle block provides rapid-onset of sensory block, zero motor block, early ambulation and early hospital discharge in comparison to caudal block which was slower in onset with mild to moderate motor block and associated with increase time of staying in hospital.
 
Keywords
Anorectal surgery; spinal (saddle) block; caudal block; bupivacaine
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