• Anaesthesia · Feb 1990

    Randomized Controlled Trial Comparative Study Clinical Trial

    Paediatric postoperative analgesia. A comparison of rectal diclofenac with caudal bupivacaine after inguinal herniotomy.

    • M A Moores, J G Wandless, and D Fell.
    • Department of Anaesthesia, Leicester Royal Infirmary.
    • Anaesthesia. 1990 Feb 1;45(2):156-8.

    AbstractForty-three children for day case inguinal herniotomy under general anaesthesia were assigned randomly to receive either 1 ml/kg caudal bupivacaine 0.25% or rectal diclofenac 0.25 mg/kg intra-operatively to provide postoperative analgesia. Pain and demeanour were assessed by an observer in the early postoperative period after operation and by questionnaire for the parents over the first 24 hours. Caudal bupivacaine provided more pain-free patients at first but later the incidence of pain was similar in the two treatment groups. Rectal diclofenac is a useful alternative to caudal blockade in this group of patients.

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