2024-03-28T19:53:21Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00028451
2023-11-16T02:58:03Z
499:508:509:2431
Comparison between rectus sheath block with 0.25% ropivacaine and local anesthetic infiltration with 0.5% ropivacaine for laparoscopic inguinal hernia repair in children
Tamura, Takahiro
Kaneko, Kenitiro
Yokota, Shuichi
Kitao, Takashi
Ando, Masahiko
Kubo, Yoko
Nishiwaki, Kimitoshi
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
rectus sheath block
local anesthetic infiltration
prospective study
regional anesthesia
inguinal hernia
This randomized, observer-blinded prospective study aimed to compare the postoperative analgesic effects of ultrasound-guided rectus sheath block with those of local anesthetic infiltration of the surgical field in children undergoing inguinal hernia repair. Children aged 2 to 14 years, scheduled for elective single-incision laparoscopic percutaneous extraperitoneal closure, were randomly allocated to receive ultrasound-guided rectus sheath block (group R) or local anesthetic infiltration of the surgical field (group L). In group R, 0.5 ml/kg of 0.25% ropivacaine (per side) was administered after intubation. In group L, 0.4 ml/kg of 0.5% ropivacaine was administered after peritoneal closure. Postoperative pain was assessed using the Face Scale and Face, Legs, Activity, Cry, Consolability scale at various time points, including the primary endpoint of 2 h after leaving the operation room. Additional analgesic drugs were used according to the Face Scale scores. Patient characteristics, the amount of additional drugs, and complication rate were evaluated in both groups. The patient and surgical characteristics were comparable between groups. The Face Scale and Face, Legs, Activity, Cry, Consolability scale scores were not significantly different between group R (n = 38) and group L (n = 38) at 2 h after leaving the operation room. The amount of additional drugs administered at 2 h after leaving the operation room were also comparable between groups. Our findings suggest that the postoperative analgesic efficacy of ultrasound-guided rectus sheath block is not superior to that of local anesthetic infiltration of the surgical field for pediatric single-incision laparoscopic percutaneous extraperitoneal closure.
Nagoya University Graduate School of Medicine, School of Medicine
2019-08
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.81.3.341
http://hdl.handle.net/2237/00030642
https://nagoya.repo.nii.ac.jp/records/28451
10.18999/nagjms.81.3.341
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/813.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
81
3
341
349
https://nagoya.repo.nii.ac.jp/record/28451/files/01_Tamura.pdf
application/pdf
501.3 kB
2019-09-04