A COMPARISON OF WOUND INSTILLATION AND CAUDAL BLOCK FOR ANALGESIA FOLLOWING PEDIATRIC INGUINAL HERNIORRHAPHY

被引：21

作者：

CONROY, JM ^{[1
]}

OTHERSEN, HB ^{[1
]}

DORMAN, BH ^{[1
]}

GOTTESMAN, JD ^{[1
]}

WALLACE, CT ^{[1
]}

BRAHEN, NH ^{[1
]}

机构：

[1] MED UNIV S CAROLINA,DEPT SURG,DIV PEDIAT SURG,CHARLESTON,SC 29425

来源：

JOURNAL OF PEDIATRIC SURGERY | 1993年 / 28卷 / 04期

关键词：

HERNIA; PEDIATRIC; PAIN; POSTOPERATIVE HERNIORRHAPHY; ANALGESIA; CAUDAL; ILIOINGUINAL BLOCK; TOPICAL;

D O I：

10.1016/0022-3468(93)90617-T

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Regional analgesia, in a variety of forms, has been shown to afford effective postoperative pain relief after pediatric inguinal hernia repair. This study compares the efficacy of wound instillation with 0.25% bupivacaine (n = 20), caudal block with 0.25% bupivacaine (n = 35), and a control group (n = 15). Outcome parameters examined include total operating room time, time to extubation, postoperative objective pain scales, and requirement for supplemental analgesics. Patients who received caudal blocks had significantly decreased emergence times (P < .002), exhibited fewer pain-related behaviors postoperatively (P < .0025), and required less narcotic to maintain normal hemodynamics (P < .05). Operating room time was not statistically different between the three groups. The use of perioperative analgesic blocks resulted in quicker awakening, a more comfortable postoperative course, and potentially earlier discharge from same-day surgery. © 1993.

引用

页码：565 / 567

页数：3