Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Anatomical considerations of the pediatric ilioinguinal/iliohypogastric nerve block
Paediatric Anaesthesia, Volume 15, No. 5, Year 2005
Notification
URL copied to clipboard!
Description
Background: The ilioinguinal/iliohypogastric nerve block is safe, effective and easy to perform in order to provide analgesia for a variety of inguinal surgical procedures in pediatric patients. A relatively high failure rate of 10-25% has been reported, even in experienced hands. The aim of this study was to determine the exact anatomical position of the ilioinguinal and iliohypogastric nerves in relation to an easily identifiable constant bony landmark, the anterior superior iliac spine (ASIS) in neonates and infants. The current ilioinguinal/iliohypogastric nerve block techniques were also evaluated from an anatomical perspective. Method: Dissections were performed on a sample of 25 infant and neonatal cadavers (mean weight = 2.2 kg; mean height = 45.6 cm). The distance from the ASIS to both the ilioinguinal and iliohypogastric nerves, on a line connecting the ASIS to the umbilicus was carefully measured using a digital caliper. Three techniques, commonly used in clinical practice, were simulated on the anatomical specimens. Result: The left and right ilioinguinal nerves were closer to the ASIS than previously described, i.e. 1.9 ± 0.9 mm (mean ± SD) and 2.0 ± 0.7 mm, respectively. The mean distance from the left and right iliohypogastric nerves to the ASIS are 3.3 ±0.8 mm and 3.9 ± 1.0 mm, respectively. Conclusions: We suggest that the high failure rate of the ilioinguinal/iliohypogastric nerve block in this age group could be due to lack of specific spatial knowledge of the anatomy of these nerves in infants and neonates. This cadaver-based study suggests an insertion point closer to the ASIS, approximately 2.5 mm (range: 1.0-4.9) from the ASIS on a line drawn between the ipsilateral ASIS and the umbilicus. © 2005 Blackwell Publishing Ltd.
Authors & Co-Authors
van Schoor, Albert Neels
South Africa, Pretoria
University of Pretoria
Boon, Johannes M.
South Africa, Pretoria
University of Pretoria
Bösenberg, Adrian Thomas
South Africa, Cape Town
Faculty of Health Sciences
Abrahams, P. H.
United Kingdom, Cambridge
Girton College
Grenada, Saint George's
St. George's University Grenada
Meiring, Johannes Henricus
South Africa, Pretoria
University of Pretoria
Statistics
Citations: 95
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1111/j.1460-9592.2005.01464.x
ISSN:
11555645
Research Areas
Health System And Policy
Maternal And Child Health