rocuronium and Hirschsprung-Disease

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.. General anesthesia combined with caudal block can shorten the duration of operation, and provide more stable intraoperative hemodynamics and better postoperative analgesia.

Topics: Adjuvants, Anesthesia; Anesthesia Recovery Period; Anesthesia, Conduction; Anesthesia, General; Female; Hemodynamics; Hirschsprung Disease; Humans; Infant; Laparoscopy; Male; Neuromuscular Nondepolarizing Agents; Operative Time; Retrospective Studies; Rocuronium; Sufentanil