Postoperative Analgesia for the Surgical Correction of Congenital Clubfoot. Comparison between Peripheral Nerve Block and Caudal Epidural Block

Rodrigues, Márcia Regina; Paes, Franklin Cespedes; Duarte, Leonardo Teixeira Domingues; Nunes, Luiz Guilherme Nadal; Costa, Verônica Vieira da; Saraiva, Renato Ângelo

doi:10.1016/s0034-7094(09)70093-5

Cited by 9 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in some studies, no direct relation was found between local anesthesia and a reduction in pain after the operation including a study by Rodrigues in Brazil [16]. In the Brazil study, a randomized, double-blind study, children undergoing surgeries for club foot were divided in four groups according to the anesthetic technique: caudal, sciatic and femoral block, sciatic and saphenous block, and sciatic block and local anesthesia, associated with general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain

et al. 2012

View full text Add to dashboard Cite

BackgroundHemorrhoid is one of the most common surgical diseases occurring in the anorectal region. In this study, we evaluated the effect of ischiorectal fossa block on alleviating post hemorrhoidectomy pain.MethodsIn this study, 90 patients suffering from hemorrhoids were evaluated. They were randomly divided into 3 groups. The first group had no block, the second group an ischiorectal block with placebo (normal saline), and the third group a preemptive ischiorectal block with bupivacaine. Postoperative variables such as pain intensity, pethidine consumption, nausea, and vomiting were compared between the groups.ResultsThe postoperative pain score in group 1 was 8.5 ± 1.3 and 8.1 ± 0.9 (P = NS) in group 2. The post operative analgesic demand was 3.1 ± 1.5 and 3.3 ± 1.8 hours in groups 1 and 2, respectively (P = NS). The post operative pain score and analgesic demand were 4.2 ± 2.1 and 9.3 ± 2.7 hours, respectively, in group 3 (P < 0.0001).ConclusionsPreemptive ischiorectal block reduces the posthemorrhoidectomy pain and opioid demand.

show abstract

Section: Discussionmentioning

confidence: 99%

Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain

et al. 2012

View full text Add to dashboard Cite

show abstract

“…In pediatric patients, peripheral anesthetic blockade of the sciatic nerve (SN) is commonly used for the control and treatment of postoperative pain after major orthopedic procedures to the leg, ankle, and foot (Singelyn, ; Dalens, ; Berniere et al, ). Out of the many approaches of the SN blockade developed for pediatric patients (McNicol, ; Dalens et al, ; Rodrigues et al, ), the most commonly performed is the popliteal approach of the SN. The popliteal approach has been marked as a first‐in‐line approach due to the superficial location of the nerve and the simplicity of the technique (Dalens, ).…”

Section: Introductionmentioning

confidence: 99%

A computed tomography and magnetic resonance imaging study of the variations of the sciatic nerve branches of the pediatric knee: Implications for peripheral nerve blockade

et al. 2019

View full text Add to dashboard Cite

In pediatric patients, peripheral anesthetic blockade of the sciatic nerve is useful for postoperative pain relief after orthopedic procedures of the lower limb. The identification of the sciatic and its branches relative to the surrounding anatomical structures of the knee significantly contribute to the successful nerve blockade. However, reports have demonstrated complications arising from the inadequate and inconsistent understanding of the anatomy of the nerves in the knee region. In addition, the paucity of information regarding the location of the nerves of the knee throughout the pediatric development needs to be addressed in order for peripheral nerve blockades to become more readily used among the pediatric population. This clinical imaging study therefore aimed to document and analyze the relative morphometric relationship of the nerves in the knee region throughout the different stages of pediatric development. The locations of the sciatic, tibial, and common fibular nerves were measured in relation to relevant anatomical structures in 142 pediatric magnetic resonance imaging and computed tomography. A strong correlation was found between age and the distance from the common fibular nerve to the semitendinosus muscle, and thus can be used to predict stature. Significant differences were found between males and females, specifically after puberty, suggesting that sexual dimorphism emerges more distinctively at puberty. In order to predict the location of the nerves at the popliteal fossa, a regression formula using the patient's age and bicondylar width was created. These finding may have significant implications for popliteal approach of the sciatic nerve blockade in pediatric patients. Clin. Anat. 32:836-850, 2019.

show abstract

“…Although the spread of local anesthetic solution and duration of sensory and motor blockades were found to be similar in all groups, the authors recommended the posterior approach for its technical ease. Rodrigues et al () compared the analgesic efficacy of caudal and peripheral nerve blockades in 118 children undergoing surgical correction of congenital clubfoot. They combined the sciatic (posterior approach) with femoral ( n = 32) and saphenous ( n = 28) nerve blockades to be performed in children using a peripheral nerve stimulator.…”

Section: Resultsmentioning

confidence: 99%

Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

Byun

Pather

2019

Clinical Anatomy

View full text Add to dashboard Cite

In regional anesthesia, accurate knowledge of surface anatomy and landmarks are essential for successful nerve blockades with least possible complications. The longestablished anatomical landmarks used for peripheral nerve blockades in adult patients have also gained a place in pediatric anesthesia. Despite the continuing benefits and need for more effective peripheral techniques in pediatrics, there is a paucity of data on pediatric landmarks, and hence the absence of more appropriate techniques for the different age groups of children. Recent advancement in imaging has shown that there is a greater awareness for the different surface projections at various stages of postnatal development, as compared with that of adults. Thus, if adult landmarks are not appropriately adapted for use in children, complication rates may rise due to injuries to anatomical structures. This review evaluated the existing evidence of the pediatric nerve block landmarks in the reported literature, in order to highlight the limitations in our current understanding of pediatric surface anatomy and landmarks. A literature search was done using five databases to obtain 141 references. Only a few of these studies provided detailed reports of the relations of relevant nerves to anatomical landmarks. A few clinical imaging studies have provided new anatomical landmarks in children with reference to their age-related growth and anatomy. Most landmarks need to be standardized in children of various ages, and furthermore, inconsistencies in the current descriptions of the surface landmarks need to be validated and standardized for use in pediatric clinical practice. Clin. Anat. 32:803-823, 2019.

show abstract

Postoperative Analgesia for the Surgical Correction of Congenital Clubfoot. Comparison between Peripheral Nerve Block and Caudal Epidural Block

Abstract: peripheral nerve blocks did not promote longer lasting analgesia or a decrease in morphine consumption in the first 24 hours in children undergoing CCF correction when compared to caudal epidural block.

Cited by 9 publications

References 18 publications

Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain

Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain

A computed tomography and magnetic resonance imaging study of the variations of the sciatic nerve branches of the pediatric knee: Implications for peripheral nerve blockade

Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

Contact Info

Product

Resources

About