{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T09:29:13Z","timestamp":1768555753684,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2011,8,9]],"date-time":"2011-08-09T00:00:00Z","timestamp":1312848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objectives and aims:\u2002<\/jats:bold> We examine the efficacy and complications of general anesthesia with ilioinguinal\u2010iliohypogastric nerve block performed on ex\u2010premature neonates undergoing inguinal herniotomy.<\/jats:p><jats:p><jats:bold>Background:\u2002<\/jats:bold> The ex\u2010premature neonate has many co\u2010morbidities and is at risk of postoperative apnea and bradycardia. Anesthesia techniques aimed to provide good surgical conditions include general anesthesia and central neuroaxial techniques. There are still significant complications after these techniques and none is superior.<\/jats:p><jats:p><jats:bold>Methods\/Materials:\u2002<\/jats:bold> A retrospective search of our department\u2019s computer database was conducted on ex\u2010premature neonates, post\u2010menstrual age of 48\u2003weeks and under, who received general anesthesia and ilioinguinal\u2010iliohypogastric nerve block for bilateral inguinal herniotomy from 1997 to 2009.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Eighty\u2010two neonates were selected. All medical notes were traced and information including the demographics, co\u2010morbidities and perioperative data were obtained. The mean gestational age was 30.3\u2003weeks (<jats:sc>sd<\/jats:sc>\u2003\u00b1\u20033.2) and the mean post\u2010conception age was 40.0\u2003weeks (<jats:sc>sd<\/jats:sc>\u2003\u00b1\u20033.1). Mean birth weight was 1284\u2003g (<jats:sc>sd<\/jats:sc>\u2003\u00b1\u2003518) and mean weight at the time of surgery was 2795\u2003g (<jats:sc>sd<\/jats:sc>\u2003\u00b1\u2003958). Thirty\u2010two (39.0%) neonates had apnea of prematurity, which required caffeine treatment. Thirty\u2010five (42.7%) neonates required intubation for ventilatory support preoperatively. There was a good success rate of the ilioinguinal\u2010iliohypogastric nerve block in 73 (89.0%) patients. They were deemed successful clinically by the attending anesthesiologist. No perioperative rescue opioid was required. Four neonates had postoperative apnea requiring intervention.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Ilioinguinal\u2010iliohypogastric nerve block has a success rate similar to other techniques and when combined with general anesthesia, provides a viable alternative technique of anesthesia in these high\u2010risk patients.<\/jats:p>","DOI":"10.1111\/j.1460-9592.2011.03665.x","type":"journal-article","created":{"date-parts":[[2011,8,9]],"date-time":"2011-08-09T06:42:43Z","timestamp":1312872163000},"page":"1109-1113","source":"Crossref","is-referenced-by-count":6,"title":["Retrospective review of ilioinguinal\u2010iliohypogastric nerve block with general anesthesia for herniotomy in ex\u2010premature neonates"],"prefix":"10.1111","volume":"21","author":[{"given":"Sze Y.","family":"Thong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suan L.","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes Suah Bwee","family":"Ng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,9]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/86.3.366"},{"key":"e_1_2_8_3_2","first-page":"CD003669","article-title":"Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy","volume":"3","author":"Craven PD","year":"2003","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2010.03316.x"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.aco.0000169236.91185.5b"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2005.01663.x"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200308000-00035"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1987.tb04108.x"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1987.tb03095.x"},{"key":"e_1_2_8_10_2","first-page":"293","article-title":"The FLACC: a behavioral scale for scoring postoperative pain in young children","volume":"23","author":"Merkel SI","year":"1997","journal-title":"Pediatr Nurs"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2002.00832.x"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000217196.34354.5a"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2007.02194.x"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/ael100"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199504000-00002"},{"key":"e_1_2_8_16_2","first-page":"7","article-title":"Postoperative apnea, bradycardia, and oxygen desaturation in formerly premature infants: prospective comparison of spinal and general anesthesia","volume":"80","author":"Krane EJ","year":"1995","journal-title":"Anesth Analg"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.1998.00431.x"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199905000-00015"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2005.01464.x"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2006.01068.x"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1460-9592.2011.03665.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1460-9592.2011.03665.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T11:51:35Z","timestamp":1697284295000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1460-9592.2011.03665.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,9]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1111\/j.1460-9592.2011.03665.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1460-9592.2011.03665.x","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,9]]}}}