Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study

ABSTRACT: Introduction: Postoperative pain is an important symptom in patients after non-oncological anal canal surgery. A caudal block has shown to be an effective analgesic technique in this type of surgery, and ultrasound facilitates its performance and increases the rate of a successful block. W...

Full description

Autores:
Cadavid Puentes, Adriana Margarita
Martínez, Sandra
Joaqui, William H
Escobar, J.
Botero, J.
Mavarez Martínez, A.
Bergese, SD
Tipo de recurso:
Article of investigation
Fecha de publicación:
2018
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/32007
Acceso en línea:
https://hdl.handle.net/10495/32007
Palabra clave:
Anestesia Caudal
Anesthesia, Caudal
Dolor Postoperatorio
Pain, Postoperative
Canal Anal
Anal Canal
Ultrasonografía
Ultrasonography
Procedimientos Quirúrgicos Ambulatorios
Ambulatory Surgical Procedures
Rights
openAccess
License
http://creativecommons.org/licenses/by/2.5/co/
id UDEA2_83d2a84df7b98f3f84af6a3a00b01af0
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/32007
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
title Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
spellingShingle Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
Anestesia Caudal
Anesthesia, Caudal
Dolor Postoperatorio
Pain, Postoperative
Canal Anal
Anal Canal
Ultrasonografía
Ultrasonography
Procedimientos Quirúrgicos Ambulatorios
Ambulatory Surgical Procedures
title_short Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
title_full Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
title_fullStr Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
title_full_unstemmed Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
title_sort Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
dc.creator.fl_str_mv Cadavid Puentes, Adriana Margarita
Martínez, Sandra
Joaqui, William H
Escobar, J.
Botero, J.
Mavarez Martínez, A.
Bergese, SD
dc.contributor.author.none.fl_str_mv Cadavid Puentes, Adriana Margarita
Martínez, Sandra
Joaqui, William H
Escobar, J.
Botero, J.
Mavarez Martínez, A.
Bergese, SD
dc.subject.decs.none.fl_str_mv Anestesia Caudal
Anesthesia, Caudal
Dolor Postoperatorio
Pain, Postoperative
Canal Anal
Anal Canal
Ultrasonografía
Ultrasonography
Procedimientos Quirúrgicos Ambulatorios
Ambulatory Surgical Procedures
topic Anestesia Caudal
Anesthesia, Caudal
Dolor Postoperatorio
Pain, Postoperative
Canal Anal
Anal Canal
Ultrasonografía
Ultrasonography
Procedimientos Quirúrgicos Ambulatorios
Ambulatory Surgical Procedures
description ABSTRACT: Introduction: Postoperative pain is an important symptom in patients after non-oncological anal canal surgery. A caudal block has shown to be an effective analgesic technique in this type of surgery, and ultrasound facilitates its performance and increases the rate of a successful block. We aimed to determine the effectiveness of ultrasound-guided caudal block (UGCB) in anesthesia and postoperative analgesia in patients scheduled for benign anal surgery. Methods: This was a prospective interventional cohort study in adult patients who underwent benign anal surgery under UGCB. We evaluated the effectiveness of the intervention based on postoperative pain intensity measured with the numeric rating scale (NRS) at the following postoperative time points: 6, 12 and 24 hours. The following outcomes were included in our analysis: lower limbs motor block, urinary retention, rescue analgesia, and patient’s analgesia satisfaction. Results: A total of 23 patients were included for data analysis. At least 65% of the study population reported none to mild pain (NRS ≤ 3) during the first 24 hours after surgery. None of the study patients experienced complete motor block in lower extremities or urinary retention. The mean time for patients to request the first rescue analgesia was 6.4 hours. The survey results indicated that 22 patients (95.7%) out of 23 were satisfied with the postoperative pain control. Conclusions: UGCB is an effective, easy to perform intervention in patients with benign anal canal surgery. This technique offers an alternative multimodal pain control therapy with satisfactory analgesic effect and low rate of adverse events.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2022-11-13T17:22:27Z
dc.date.available.none.fl_str_mv 2022-11-13T17:22:27Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.redcol.spa.fl_str_mv https://purl.org/redcol/resource_type/ART
dc.type.local.spa.fl_str_mv Artículo de investigación
format http://purl.org/coar/resource_type/c_2df8fbb1
status_str publishedVersion
dc.identifier.citation.spa.fl_str_mv Adriana M Cadavid, Sandra M Martínez, William H Joaqui, Escobar J, Botero J, Mavarez-Martinez A, et al., Ultrasound-Guided Caudal Block for Anal Canal Surgery: A Prospective Cohort Study. Int J Anesth Res. 2018;6(7):532-536. doi: http://dx.doi.org/10.19070/2332-2780-18000107
dc.identifier.issn.none.fl_str_mv 2332-2780
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/32007
dc.identifier.doi.none.fl_str_mv 10.19070/2332-2780-18000107
identifier_str_mv Adriana M Cadavid, Sandra M Martínez, William H Joaqui, Escobar J, Botero J, Mavarez-Martinez A, et al., Ultrasound-Guided Caudal Block for Anal Canal Surgery: A Prospective Cohort Study. Int J Anesth Res. 2018;6(7):532-536. doi: http://dx.doi.org/10.19070/2332-2780-18000107
2332-2780
10.19070/2332-2780-18000107
url https://hdl.handle.net/10495/32007
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Int. J. Anesthesiol. Res.
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by/2.5/co/
dc.rights.accessrights.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons.spa.fl_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/2.5/co/
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.format.extent.spa.fl_str_mv 5
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Sci Doc Publishers
dc.publisher.group.spa.fl_str_mv Grupo de Investigación en Medicina Perioperatoria (GRIMPA)
dc.publisher.place.spa.fl_str_mv Lewes, Estados Unidos
institution Universidad de Antioquia
bitstream.url.fl_str_mv https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/1/CadavidAdriana_2018_UltrasoundCanalSurgery.pdf
https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/2/license_rdf
https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/3/license.txt
bitstream.checksum.fl_str_mv 871077742ce31d611ce11671c8406015
1646d1f6b96dbbbc38035efc9239ac9c
8a4605be74aa9ea9d79846c1fba20a33
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional Universidad de Antioquia
repository.mail.fl_str_mv andres.perez@udea.edu.co
_version_ 1812173160327413760
spelling Cadavid Puentes, Adriana MargaritaMartínez, SandraJoaqui, William HEscobar, J.Botero, J.Mavarez Martínez, A.Bergese, SD2022-11-13T17:22:27Z2022-11-13T17:22:27Z2018Adriana M Cadavid, Sandra M Martínez, William H Joaqui, Escobar J, Botero J, Mavarez-Martinez A, et al., Ultrasound-Guided Caudal Block for Anal Canal Surgery: A Prospective Cohort Study. Int J Anesth Res. 2018;6(7):532-536. doi: http://dx.doi.org/10.19070/2332-2780-180001072332-2780https://hdl.handle.net/10495/3200710.19070/2332-2780-18000107ABSTRACT: Introduction: Postoperative pain is an important symptom in patients after non-oncological anal canal surgery. A caudal block has shown to be an effective analgesic technique in this type of surgery, and ultrasound facilitates its performance and increases the rate of a successful block. We aimed to determine the effectiveness of ultrasound-guided caudal block (UGCB) in anesthesia and postoperative analgesia in patients scheduled for benign anal surgery. Methods: This was a prospective interventional cohort study in adult patients who underwent benign anal surgery under UGCB. We evaluated the effectiveness of the intervention based on postoperative pain intensity measured with the numeric rating scale (NRS) at the following postoperative time points: 6, 12 and 24 hours. The following outcomes were included in our analysis: lower limbs motor block, urinary retention, rescue analgesia, and patient’s analgesia satisfaction. Results: A total of 23 patients were included for data analysis. At least 65% of the study population reported none to mild pain (NRS ≤ 3) during the first 24 hours after surgery. None of the study patients experienced complete motor block in lower extremities or urinary retention. The mean time for patients to request the first rescue analgesia was 6.4 hours. The survey results indicated that 22 patients (95.7%) out of 23 were satisfied with the postoperative pain control. Conclusions: UGCB is an effective, easy to perform intervention in patients with benign anal canal surgery. This technique offers an alternative multimodal pain control therapy with satisfactory analgesic effect and low rate of adverse events.COL00943145application/pdfengSci Doc PublishersGrupo de Investigación en Medicina Perioperatoria (GRIMPA)Lewes, Estados Unidosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by/4.0/Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort StudyAnestesia CaudalAnesthesia, CaudalDolor PostoperatorioPain, PostoperativeCanal AnalAnal CanalUltrasonografíaUltrasonographyProcedimientos Quirúrgicos AmbulatoriosAmbulatory Surgical ProceduresInt. J. Anesthesiol. Res.International Journal of Anesthesiology & Research53253667ORIGINALCadavidAdriana_2018_UltrasoundCanalSurgery.pdfCadavidAdriana_2018_UltrasoundCanalSurgery.pdfArtículo de investigaciónapplication/pdf258340https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/1/CadavidAdriana_2018_UltrasoundCanalSurgery.pdf871077742ce31d611ce11671c8406015MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8927https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/2/license_rdf1646d1f6b96dbbbc38035efc9239ac9cMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5310495/32007oai:bibliotecadigital.udea.edu.co:10495/320072022-11-13 12:22:28.078Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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