ArticleIndian journal of anaesthesia2026
Ultrasound-guided caudal block versus supra inguinal fascia iliac block for pain management in paediatric hip surgery: A randomised, double-blind comparative study.
Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Regional anaesthetic techniques are widely used for postoperative analgesia in paediatric hip and femur surgeries. Caudal blocks, while effective, require precise anatomical knowledge and can be time-consuming with potential complications. The suprainguinal fascia iliaca block (FICB) offers a potentially simpler and safer alternative. This study aimed to compare the analgesic efficacy of ultrasound guided caudal block and suprainguinal FICB in children undergoing hip surgery. Methods: This randomised, double-blind study included 60 paediatric patients aged 2-8 years undergoing unilateral hip surgery. Participants were assigned to either Group A (caudal block) or Group B (suprainguinal FICB). The primary outcome of this study was to compare the postoperative pain intensity using the FLACC (Face, Legs, Activity, Cry, Consolability) scale assessed at 4 h postoperatively. The secondary outcomes were to assess pain scores at additional time intervals (30 minutes, 2, 6, 12, and 24 h), evaluate the time first to rescue analgesia, and compare the total number of analgesic doses administered within the first 24 h postoperatively. Data were analysed using SPSS Version 22.0 and compared using Student's independent samples Results: At 4 h postoperatively, FLACC scores were comparable between both groups ( Conclusion: Suprainguinal FICB provides analgesia comparable to caudal block, with a longer duration before requiring rescue analgesia.
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