Background: Adequate analgesia post-operative is crucial to permit early mobilization and effective cough in order to decrease
the respiratory system issues and complications. The usage of peripheral nerve blockage in conjunction with sonographic technology
and neural stimulators have resulted in better fascial planes identification.
Aim: To compare the analgesic effectiveness of sonographic -guided caudal epidural blockage versus sonographic -guided
single-shot thoraco-lumber paravertebral blockage in pediatric cases undergoing lower abdominal surgeries such as herniotomy.
Methodology: This is a prospective randomized interventional clinical research trial performed in Department of Anesthesiology,
Samir Abbas Hospital ‘Saudi Arabia to compare single-shot caudal Blockage to single-shot paravertebral blockage conducted on
sixty pediatric cases. Categorized randomly into two equal numbered research groups: research Group C (caudal Blockade) and
research Group P (paravertebral blockade).
Results: Comparative statistical analysis of research group C (Caudal blockage research group) and research group P
(paravertebral blockage research group) as regards Postoperative FLACC ( Face, Legs, Activity, Cry, Consolability) scoring level in
which there was no statistical significant difference between both research groups at 0, 0.5, 1, 2, scoring levels p values =0.605,
0.192, 0.076, 0.130 consecutively) whereas there was statistical significant higher scoring levels among research group C study
subjects in comparison to research group p study subjects at 3rd, 6th, 12th and 24th hours. (p values=0.031, 0.002, 0.000, 0.000
Conclusion: analgesia after Sonographic-guided paravertebral blockade administering (bupivacaine 0.25 % 1mg /kg) is
superior in analgesic effects in comparison to sonographic guided mode of caudal epidural blockade.