A pilot study of the rectus sheath block for pain control after umbilical hernia repair

Paediatric Anaesthesia
Lisa A IsaacMark W Crawford

Abstract

Umbilical hernia repair, a common day surgery procedure in children, is associated with significant postoperative discomfort. The rectus sheath block may offer improved pain management following umbilical hernia repair. In this pilot study, we compared the efficacy of the rectus sheath block with that of our current standard practice--local anesthetic infiltration into the surgical wound--for pain control after umbilical hernia repair in children. Fourteen children, aged 1-8 years, undergoing umbilical hernia repair were randomly assigned to receive either a rectus sheath block or local anesthetic infiltration into the surgical wound at completion of surgery. Anesthetic management was standardized. Each analgesic technique was performed using 0.8 ml x kg(-1) of 0.25% bupivacaine with epinephrine 1:200,000. Postoperatively, an investigator who was blinded to the analgesic technique recorded the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) scores and sedation scores every 10 min, and administered intravenous morphine 50 microg x kg(-1) for cases with CHEOPS scores > or = 8. Total morphine dose was recorded. Parents were telephoned the day after surgery to determine the overall satisfaction with pain control. Total p...Continue Reading

References

Nov 1, 1988·Anaesthesia·B E SmithJ Challands
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Jan 1, 1997·Paediatric Anaesthesia·P CourregesD Lecoutre
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Feb 25, 2005·Anesthesia and Analgesia·Cliff K-S OngBrian J Jenkins

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Citations

Aug 28, 2007·Aesthetic Plastic Surgery·M U AnwarI T Foo
Sep 26, 2012·Journal of Anesthesia·Tarun BhallaJoseph D Tobias
Mar 27, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·M Beaussier, M Aissou
Nov 23, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Emma J CrosbieRichard J Slade
Feb 12, 2008·Annales Françaises D'anesthèsie Et De Rèanimation·S DareauJ-J Eledjam
Dec 23, 2006·Paediatric Anaesthesia·Belen de Jose MariaMaged Mabrok
Nov 8, 2007·Paediatric Anaesthesia·Adam V Skinner, Gillian R Lauder
Oct 4, 2006·International Journal of Oral and Maxillofacial Surgery·P CoulthardD Jackson-Leech
Oct 28, 2008·International Journal of Surgery·Alan A SaberRuvie L Martinez
Jan 14, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinJeffrey Gadsden
Dec 15, 2010·The Cochrane Database of Systematic Reviews·Shona CharltonJames D Griffiths
Apr 6, 2021·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Lan WinnieKun-Yi Hsieh
Jun 20, 2021·Regional Anesthesia and Pain Medicine·David H KimStavros G Memtsoudis

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