| The relative position of ilioinguinal and iliohypogastric nerves in different age groups of pediatric patients. | |
| | |
MedLine Citation:
|
PMID: 20236097 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Ilioinguinal nerve (IIN) and iliohypogastric nerve (IHN) blocks provide good perioperative pain relief for children undergoing inguinal procedures such as inguinal hernia repair, orchiopexy, and hydrocelectomy. The aim of this ultrasound imaging study is to compare the relative anatomical positions of IIN and IHN in different age groups of pediatrics. METHODS: Two-hundred children (aged 1-82 months, ASA I or II) undergoing day-case surgery were consecutively included in this study. Following the induction of general anesthesia, an ultrasonographic exam was performed using a high-frequency linear probe that was placed on an imaginary line connecting the anterior superior iliac spine (ASIS) to the umbilicus. RESULTS: There were significant differences in ASIS-IIN (distance from ASIS to IIN), ASIS-IHN (distance from the ASIS to the IHN), and IIN-IHN (distance between IIN and IHN) between the age groups: <12 months (n=84), 12-36 months (n=80), and >37 months (n=36). However, IIN-Peritoneum (distances from IIN to peritoneum), skin-IIN, and skin-IHN (depth of IIN and IHN relative to skin) were similar in three groups. ASIS-IIN and ASIS-IHN showed significantly positive correlations with age. CONCLUSIONS: Age should be considered when placing a needle in landmark techniques for pediatric II/IH nerve blocks. However, needle depth should be confirmed by the fascial click due to the lack of predictable physiologic factors. |
| | |
Authors:
|
J-Y Hong; W O Kim; B N Koo; Y A Kim; Y Y Jo; H K Kil |
Related Documents
:
|
15214857 - Inhalation anaesthesia for castration of newborn piglets: experiences with isoflurane a... 20456097 - The effect of age on skin color and color heterogeneity in four ethnic groups. 8194537 - Standardisation of 31phosphorus-nuclear magnetic resonance spectroscopy determinations ... 8937267 - Clothing microclimate temperatures during thermal comfort in boys, young and older men. 10036657 - A cephalometric study by multivariate analysis of growth of the bony nasopharynx in pat... 12524087 - Three-dimensional ultrasonographic ovarian measurements and in vitro fertilization outc... |
Publication Detail:
|
Type: Journal Article Date: 2010-03-10 |
Journal Detail:
|
Title: Acta anaesthesiologica Scandinavica Volume: 54 ISSN: 1399-6576 ISO Abbreviation: Acta Anaesthesiol Scand Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-04-26 Completed Date: 2010-07-27 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370270 Medline TA: Acta Anaesthesiol Scand Country: England |
Other Details:
|
Languages: eng Pagination: 566-70 Citation Subset: IM |
Affiliation:
|
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdominal Wall
/
innervation*,
ultrasonography Age Factors Body Weights and Measures Child, Preschool Humans Hypogastric Plexus / anatomy & histology, ultrasonography* Ilium / innervation Infant Inguinal Canal / innervation Nerve Block / methods Peripheral Nerves / anatomy & histology, ultrasonography* Pubic Bone / anatomy & histology, ultrasonography* Surgical Procedures, Elective Umbilicus / anatomy & histology*, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Long-term effect of the ICU-diary concept on quality of life after critical illness.
Next Document: Pleth variability index predicts hypotension during anesthesia induction.