The efficacy of rectus sheath block for pain management following laparoscopic orchiopexy surgery
Author
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 10, Issue 1 (31 Mar. 2017), pp.219-223, 5 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2017-03-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background Ultrasound (U/S)-guided rectus sheath block is an effective analgesic technique in elective pediatric laparoscopic surgical procedures.
The aim of the study was to evaluate the efficacy of rectus sheath block for pain management following laparoscopic orchiopexy surgery.
Patients and methods A total of 50 patients undergoing elective laparoscopic orchiopexy were allocated randomly into two groups: the U/S-guided rectus sheath block group (the REC group) and the general anesthesia-only group (the GA group), in which no rectus sheath block was performed.
All patients received the same general anesthetic technique.
In the REC group, patients received bilateral U/S-guided rectus sheath block, using 0.4 ml/kg of 0.25% bupivacaine, and morphine (0.1 mg/kg) was administered for rescue analgesia postoperatively and its total dose was recorded.
Pain was measured by means of Children’s Hospital of Eastern Ontario Pain Scale score.
Hospital stay and the incidence of respiratory depression or vomiting were recorded.
Results In all, 50 patients completed the study.
The total dose of morphine used over 24 h was significantly lower in the REC group.
Children’s Hospital of Eastern Ontario Pain Scale scores were significantly lower in the REC group during the first 3 h postoperatively, and the incidence of vomiting, respiratory depression, and oxygen saturation in the postanesthesia care unit showed no significant difference between the study groups.
Hospital stay was significantly shorter in the REC group compared with the GA group.
Conclusion U/S-guided rectus sheath block is an effective analgesic technique with morphinesparing effect after laparoscopic orchiopexy surgery.
American Psychological Association (APA)
Shukri, Huda. 2017. The efficacy of rectus sheath block for pain management following laparoscopic orchiopexy surgery. Ain Shams Journal of Anesthesiology،Vol. 10, no. 1, pp.219-223.
https://search.emarefa.net/detail/BIM-841385
Modern Language Association (MLA)
Shukri, Huda. The efficacy of rectus sheath block for pain management following laparoscopic orchiopexy surgery. Ain Shams Journal of Anesthesiology Vol. 10, no. 1 (Mar. 2017), pp.219-223.
https://search.emarefa.net/detail/BIM-841385
American Medical Association (AMA)
Shukri, Huda. The efficacy of rectus sheath block for pain management following laparoscopic orchiopexy surgery. Ain Shams Journal of Anesthesiology. 2017. Vol. 10, no. 1, pp.219-223.
https://search.emarefa.net/detail/BIM-841385
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 223
Record ID
BIM-841385