Post-operative analgesia in penile surgeries in pediatrics with focus on sacral erector spinae plane block and caudal block

Abstract

Surgical postoperative pain commonly occurs in pediatrics. Inadequate treatment of such problem might lead to behavioral disturbance, disordered sleeping patterns, parental dissatisfaction, chronic postoperative pain, and might negatively affect the follow-up as well as future approaches. Multimodal analgesia which involves using > one method of pain controlling to achieve synergistic beneficial analgesia influences with decreasing opioid- related adverse events (opioids, non-opioid drugs, regional and local analgesia). The ESPB is a relatively novel interfacial plane block that is utilized for postoperative analgesia in penile surgeries in pediatrics. Caudal epidural block in children is a commonly used technique of regional anesthesia; it's an effective method that provide perioperative analgesia for any painful sub-umbilical intervention.