-
Randomized Controlled Trial Comparative Study Clinical Trial
Postoperative analgesia and intraoperative inhalational anesthetic requirements during umbilical herniorrhaphy in children: postincisional local infiltration versus preincisional caudal epidural block.
- J D Tobias.
- Department of Anesthesiology, University of Missouri, Columbia 65212, USA.
- J Clin Anesth. 1996 Dec 1;8(8):634-8.
Study ObjectiveTo determine the postoperative analgesic efficacy of, and the effects on, intraoperative inhalational anesthetic requirements of preincisional caudal epidural block versus postincisional infiltration of local anesthetic following umbilical herniorrhaphy in children.DesignRandomized, double-blind, prospective study.SettingUniversity medical center.Patients16 ASA status I and II patients (11 males, 5 females), ages 11 to 20 months, weighing up to 17 kg.InterventionsDuring standard anesthetic care, 16 children were randomized to receive either caudal block with 1.5 ml/kg of 0.2% bupivacaine (group I) or local infiltration of the surgical site with up to 1.2 ml/kg of 0.25% bupivacaine (Group 2).Measurements And Main ResultsPatients in Group I had significantly decreased pain scores and requirements for supplemental postoperative intravenous (IV) fentanyl. Five of eight patients in Group 1 did not require supplemental IV fentanyl during their in-hospital postoperative course, while all eight patients in Group 2 required supplemental IV fentanyl. The patients who received caudal epidural block also had decreased intraoperative requirements for isoflurane, shorter time to extubation (4.1 +/- 0.8 min vs. 8.4 +/- 1.5 min), and quicker discharge home (129 +/- 13 min vs. 163 +/- 22 min). Five of eight patients in Group 1 were ready for discharge at our usual time of 120 minutes, as opposed to one of eight patients in Group 2.ConclusionPreincisional caudal epidural block is more effective in controlling pain following umbilical herniorrhaphy than is postincisional local infiltration.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.