Ultrasound Guided TAP Block Versus Ultrasound Guide Caudal Block for Pain Relief in Children Undergoing Lower Abdominal Surgeries

Abstract

ecently, marked advances have been made in pediatric pain management. Evidence of the presence of mature pain pathways at 30 weeks gestational age, intrauterine, changes the old ideas about the perceive of pain in infants. Now the benefits of treating noxious stimuli with analgesics in children are becoming unquestionable. The american academy of pediatrics and the american pain society have issued a recommend¬ation that pain is recognized and should be treated more aggres¬sively in children. They point to many misconceptions that can lead to under treatment of pain in children. Regional anesthesia and analgesia techniques are used for pain control in pediatric surgical procedures. Regional techniques decrease use of parenteral opioids requirements and improve the quality of post operative pain control and patient satisfaction. Regional anesthesia for surgical operations of the lower abdomen and inguinal region can be performed by caudal epidural block or TAP blocks. These techniques give good postoperative analgesia, and helps early ambulation and discharge of children. TAP (transversus abdominis plane) block is a relatively new regional technique. It was started by Raffi as an anatomical landmark technique in the iliolumbar triangle of Petit. This