Paediatric postoperative analgesia: a comparison between caudal block and wound infiltration of local anaesthetic

Fifty children who underwent day case herniotomy received either a caudal injection of 1 ml/kg bupivacaine 0.25% or infiltration of the wound edges at the end of surgery with 0.5 ml/kg bupivacaine 0.25%, allocated at random. Postoperative pain and demeanour were assessed initially by an observer and...

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Bibliographic Details
Published in:Anaesthesia 1988-02, Vol.43 (2), p.107-110
Main Authors: FELL, D, DERRINGTON, M. C, TAYLOR, E, WANDLESS, J. G
Format: Article
Language:English
Subjects:
Analgesics - therapeutic use
Anesthesia
Anesthesia, Caudal
Anesthesia, Epidural
Anesthesia, Local
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bupivacaine - administration & dosage
Child Behavior - drug effects
Child, Preschool
Hernia, Inguinal - surgery
Humans
Local anesthesia. Pain (treatment)
Medical sciences
Pain, Postoperative - prevention & control
Postoperative Period
Random Allocation
Citations: Items that this one cites
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Summary:Fifty children who underwent day case herniotomy received either a caudal injection of 1 ml/kg bupivacaine 0.25% or infiltration of the wound edges at the end of surgery with 0.5 ml/kg bupivacaine 0.25%, allocated at random. Postoperative pain and demeanour were assessed initially by an observer and later by use of a parental questionnaire. Wound infiltration of local anaesthetic solution provided analgesia which was comparable to that associated with caudal block, and the incidence of side effects was similar in the two groups. Wound infiltration of local anaesthetic offers a simple, safe alternative to caudal block for provision of postoperative analgesia in this group of patients.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1988.tb05475.x