کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718489 1411252 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Randomized Clinical TrialsPercutaneous ultrasound-guided vs. intraoperative rectus sheath block for pediatric umbilical hernia repair: A randomized clinical trial
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Randomized Clinical TrialsPercutaneous ultrasound-guided vs. intraoperative rectus sheath block for pediatric umbilical hernia repair: A randomized clinical trial
چکیده انگلیسی

BackgroundRegional anesthesia is commonly used in children. Our hypothesis was that percutaneous ultrasound-guided (PERC) rectus sheath blocks would result in lower postoperative pain scores compared to intraoperative (IO) rectus sheath blocks following umbilical hernia repair.MethodsA single-institution randomized blinded trial was conducted in pediatric patients undergoing elective umbilical hernia repair. The primary outcome was mean postoperative Wong-Baker pain score. Secondary outcomes included narcotic requirements and length of postoperative stay.ResultsFifty-eight patients were included: 28 PERC and 30 IO. Operating room time was significantly longer in the PERC group (41 vs. 35 min, p < 0.01). Mean postoperative pain scores (PERC-2.6 vs. IO-3.3, p = 0.11), morphine equivalents intraoperatively (PERC-0 vs. IO-0.04 mg/kg, p = 0.29) and postoperatively (PERC-0.04 vs. IO-0.09 mg/kg, p = 0.17), time to first postoperative narcotic dose (PERC-30 vs. IO-22 min, p = 0.33, log-rank test), and postoperative length of stay (PERC-76 vs. IO-80 min, p = 0.44) were similar.ConclusionFollowing umbilical hernia repair in children, percutaneous ultrasound-guided and intraoperative rectus sheath blocks resulted in similar mean postoperative pain scores. There were no differences in secondary outcomes such as time to first narcotic, narcotic requirements, and length of stay. The additional resources required to complete a percutaneous ultrasound-guided rectus sheath block may not be warranted.Type of studyRandomized controlled trial.Level of evidenceLevel I.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 6, June 2017, Pages 901-906
نویسندگان
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