作者
Cristen N Litz, Sandra M Farach, Allison M Fernandez, Richard Elliott, Jenny Dolan, Nikhil Patel, Lillian Zamora, Paul M Colombani, Nebbie E Walford, Ernest K Amankwah, Christopher W Snyder, Paul D Danielson, Nicole M Chandler
发表日期
2017/6/1
期刊
Journal of Pediatric Surgery
卷号
52
期号
6
页码范围
901-906
出版商
WB Saunders
简介
Background
Regional 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.
Methods
A 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.
Results
Fifty-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 …
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CN Litz, SM Farach, AM Fernandez, R Elliott, J Dolan… - Journal of Pediatric Surgery, 2017