Postoperative analgesia and intraoperative inhalational anesthetic requirements during umbilical herniorrhaphy in children: Postincisional local infiltration versus preincisional caudal epidural block

Journal of Clinical Anesthesia

Volumn 8, Issue 8, 1996, Pages 634-638

  Tobias, Joseph D ^a,b  

^a University of Missouri   (United States)

^b Department of Pediatrics and Anesthesiology ^*  (United States)

Author keywords

Analgesia, postoperative; anesthesia, caudal; anesthetics, inhalational; herniorrhaphy, umbilical; pediatrics

Indexed keywords

ADRENALIN; BUPIVACAINE; FENTANYL; GLYCOPYRRONIUM BROMIDE; HALOTHANE; ISOFLURANE; MIDAZOLAM; NEOSTIGMINE; NITROUS OXIDE; VECURONIUM;

ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG EFFICACY; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; FEMALE; HERNIORRHAPHY; HUMAN; INFANT; INHALATION ANESTHESIA; INHALATIONAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; LOCAL ANESTHESIA; MALE; ORAL DRUG ADMINISTRATION; PEDIATRIC ANESTHESIA; POSTOPERATIVE ANALGESIA; PRESCHOOL CHILD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; REGIONAL PERFUSION; UMBILICAL HERNIA;

ANALGESIA; ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; ANESTHETICS, INHALATION; ANESTHETICS, LOCAL; BUPIVACAINE; DOUBLE-BLIND METHOD; FEMALE; FENTANYL; HERNIA, UMBILICAL; HUMANS; INFANT; INJECTIONS, INTRAVENOUS; INTRAOPERATIVE CARE; INTUBATION, INTRATRACHEAL; ISOFLURANE; MALE; PAIN, POSTOPERATIVE; PATIENT DISCHARGE; PROSPECTIVE STUDIES;

EID: 0030454603     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0952-8180(96)00171-7     Document Type: Article

References (12)

1. Payne KA, Hendrix MR, Wade WJ: Caudal bupivacaine for postoperative analgesia in pediatric lower limb surgery. J Pediatr Surg 1993;28:155-7.
2. Conroy JM, Othersen HB Jr, Dorman BH, Gottesman JD, Wallace CT, Brahen NH: A comparison of wound instillation and caudal block for analgesia following pediatric inguinal herniorrhaphy. J Pediatr Surg 1993;28:565-7.
3. Hannallah RS, Broadman LM, Belman AB, Abramowitz MD, Epstein BS: Comparison of caudal and ilioinguinal/iliohypogastric nerve blocks for control of post-orchiopexy pain in pediatric ambulatory surgery. Anesthesiology 1987;66:832-4.
4. Splinter WM, Bass J, Komocar L: Regional anaesthesia for hernia repair in children: local vs. caudal anaesthesia. Can J Anaesth 1995;42:197-200.
5. Aldrete JA, Kroulik D: A postanesthetic recovery score. Anesth Analg 1970;49:924-34.
6. Casey WF, Rice LJ, Hannallah RS, Broadman LM, Norden JM, Guzzetta P: A comparison between bupivacaine instillation versus ilioinguinal/iliohypogastric nerve block for postoperative analgesia following inguinal herniorrhaphy in children. Anesthesiology 1990;72:637-9.
7. Graham SG, Wandless JG: The effect of ketorolac as an adjuvant to local anaesthetic infiltration for analgesia in paediatric umbilical hernia surgery. Paediatr Anaesth 1995;5:161-3.
8. Ure BM, Troidl H, Spangenberger W, et al: Preincisional local anesthesia with bupivacaine and pain after laparoscopic cholecystectomy. A double-blind randomized clinical trial. Surg Endosc 1993;7:482-8.
9. Wolf AR, Valley RD, Fear DW, Roy WL, Lerman J: Bupivacaine for caudal analgesia in infants and children: the optimal effective concentration. Anesthesiology 1988;69:102-6.
10. Dalens BJ: Blocks along the neuraxis. In: Dalens BJ (ed): Pediatric Regional Anesthesia. Boca Raton, FL: CRC Press, Inc., 1990:349-436.
11. Burn JMB, Langdon L, Semple AJ, Bisset WI: Transient loss of consciousness after therapeutic caudal block [Letter]. Anaesthesia 1985;40:380.
12. Dalens B, Hasnaoui A: Caudal anesthesia in pediatric surgery: success rate and adverse effects in 750 consecutive patients. Anesth Analg 1989;68:83-9.