General versus general anaesthesia combined with caudal block in laparoscopic-assisted Soave pull-through of Hirschsprung disease: a retrospective study

• Published in: BMC anesthesiology 2021-08, Vol.21 (1), p.209-209, Article 209
• Main Authors: Lin, Zhixiong, Fang, Yifan, Yan, Lei, Lin, Yu, Liu, Mingkun, Zhang, Bing, He, Yuanbing, Shen, Yong, Wu, Dianming, Zhang, Longxin
• Format: Article
• Language: English
• Subjects: Abdomen; Adjuvants, Anesthesia - administration & dosage; Analgesia; Analgesics; Anesthesia; Anesthesia Recovery Period; Anesthesia, Conduction; Anesthesia, General; Anesthetics; Anus; Blood pressure; Caudal block; Children; Colon; Female; General anesthesia; Hemodynamics; Hirschsprung disease; Hirschsprung Disease - surgery; Hirschsprung's disease; Humans; Infant; Intubation; Laparoscopic surgery; Laparoscopy; Male; Medical research; Medicine, Experimental; Neuromuscular Nondepolarizing Agents - administration & dosage; Operative Time; Pain; Pain perception; Pediatrics; Population studies; Regional anesthesia; Retrospective Studies; Rocuronium - administration & dosage; Rocuronium bromide; Side effects; Software; Sufentanil; Sufentanil - administration & dosage; Surgery
• ISSN: 1471-2253; 1471-2253
• DOI: 10.1186/s12871-021-01431-5

Caudal block is one of the most preferred regional anesthesia for sub-umbilical region surgeries in the pediatric population. However, few studies are available on caudal block performed in laparoscopic-assisted Soave pull-through of Hirschsprung disease (HD). We aimed to compare general anesthesia (GA) and general anesthesia combined with caudal block (GA + CA) in laparoscopic-assisted Soave pull-through of HD. A retrospective review was performed in children with HD operated in our hospital between 2017 and 2020. Patients were divided into the GA and GA + CA group. The primary outcome was the duration of operation, and secondary outcomes included intraoperative hemodynamic changes, the Face, Legs, Activity, Cry, Consolability (FLACC) scale, dose of anesthetics, and incidence of side effects. A total of 47 children with HD were included in the study, including 20 in the GA group and 27 in the GA + CA Group. The two groups were similar in age, gender, weight and type of HD (P > 0.05). The GA + CA group had significantly shorter duration of operation (especially the transanal operation time) (median 1.20 h vs. 0.83 h, P