HYBRID EVENT: You can participate in person at London, UK or Virtually from your home or work.

6th Edition of Global Conference on Surgery and Anaesthesia

September 15-17, 2025 | Hybrid Event

September 15 -17, 2025 | London, UK
GCSA 2025

The effect of caudal anesthesia block on perioperative pain control and reduction of the anesthetic agent in pediatric infraumbilical surgery: A prospective randomized trial study a prospective

Zeana Amer Gawe, Speaker at Anaesthesia Conferences
Ibn Al Nafees Hospital, Bahrain
Title : The effect of caudal anesthesia block on perioperative pain control and reduction of the anesthetic agent in pediatric infraumbilical surgery: A prospective randomized trial study a prospective

Abstract:

Background: Caudal epidural block (CEB) is a commonly performed neuraxial block to provide effective pain relief and analgesia in pediatric patients undergoing infraumbilical surgery.

Aims: This study aimed to compare the effectiveness of adding CEB to general anesthesia (GA) in intra- and postoperative pain management.

Design: Prospective, randomized case-controlled trial study.

Setting: Operation theater, and postoperative recovery rooms at Salmaniya Medical Complex, Bahrain.

Materials and methods: 74 patients aged 2 months to 6 years with American Society of Anesthesiologists physical status classification I were recruited over a 6-month between December 2019 and May 2020. Patients were allocated into two groups (Group A, with CEB) or (Group B, without CEB). Both groups were compared based on hemodynamic stability, pain scores, level of sedation, analgesia need, and parental satisfaction.

Statistical analysis: Data were analyzed using the SPSS program. The categorical and numerical variables of both groups were compared.

Results: Patients with CEB had better hemodynamic stability during the surgical procedure based on heart rate (P = 0.039). Pain intensity scores were less in patients with CEB than those without (P < 0.001). Fentanyl consumption was lower in Group A compared to Group B at the end of surgery (P = 0.002). They were also ambulated earlier and discharged sooner than those without CEB. Parental satisfaction was 92.1% in Group A compared to 63.9% in Group B (P = 0.012).

Conclusions: Adding CEB to GA for intraoperative and perioperative pain control in pediatric patients undergoing infraumbilical surgery makes it more effective, safe, and with better parental satisfaction.

Keywords: Analgesic; caudal anesthesia; general anesthesia; pain management; pediatric; perioperative; sedation.

Biography:

Dr. Zeana Amer Gawe, MBBCH, MD, SABA, is a Specialist in Anesthesia and Intensive Care with over 22 years of experience. She is currently serving as a Specialist in the Anesthesia Department at IBN ALNAFEES Hospital in Manama, Bahrain. Dr. Gawe holds a Bachelor’s degree in Medical Practice, a Master’s degree in General Anesthesia, Intensive Care, and Pain Management (since 2002), and the Arab Board certification in General Anesthesia and Pain Management. Previously, she worked at Salmaniya Medical Complex as a Specialist in Anesthesia and Pain Management, where she conducted and published research on pediatric anesthesia and pain relief during and after operations, with the findings recorded on Clinical Trials.gov. She is also a member of the Research Council. Her ORCID number is 0000-0001-6402-1685. She has contributed significantly to academic research, focusing on pediatric anesthesia and pain management. Her work includes a prospective randomized trial titled "The Effect of Caudal Anesthesia Block on Perioperative Pain Control and Reduction of the Anesthetic Agent in Pediatric Infraumbilical Surgery," co-authored with Hasan Mohamed Isa, Muatasem Mohamed Almashaur, and Fayza Haider. This study was published in the journal Anesthesia: Essays and Research (DOI: 10.4103/aer.aer_64_22) and is registered on Clinical Trials. gov with the ID NCT05581940. Another notable study, "Comparison between the Caudal Block and Other Methods of Postoperative Pain Relief in Children Undergoing Circumcision: A Prospective Randomized Study," was published in Anesthesia and Critical Care (2023) 
(DOI: 10.26502/acc.063) and is also registered on ClinicalTrials.gov under ID NCT06086106.

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