Regional anaesthesia for hernia repair in children: local vs caudal anaesthesia

Splinter, William M.; Bass, Juan; Komocar, Lydia

doi:10.1007/bf03010675

Cited by 72 publications

(43 citation statements)

References 17 publications

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“…Dalens reported a 3.5% incidence of failure to identify the caudal space after up to four attempts and the majority of these cases were over 7 years of age [1]. Failure to produce an adequate block following apparently successful caudal injection has been reported in 11% [17], 2.8% [9] and 7.7% [18] of cases. The 'failed caudal' may also be due to an inappropriate indication with the use of an inadequate volume to block the required nerve roots.…”

Section: Techniquementioning

confidence: 99%

Epidural and subarachnoid blockade in children

Rowney

Doyle

1998

Anaesthesia

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Section: Techniquementioning

confidence: 99%

Epidural and subarachnoid blockade in children

Rowney

Doyle

1998

Anaesthesia

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“…Similar analgesic efficacy following inguinal hernia repair has been found with wound infiltration, ilioinguinal / iliohypogastric nerve block or caudal analgesia (Splinter et al, 1995 Level II; Machotta et al, 2003 Level II). Ilioinguinal block is inherently safe, but ultrasound guidance may improve safety and efficacy (Willschke et al, 2005 Level II; Weintraud et al, 2008 Level IV).…”

Section: Inguinal Surgerymentioning

confidence: 67%

Safety of opioid patch initiation in Australian residential aged care

Gadzhanova

Roughead

Pont

2015

Medical Journal of Australia

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Objective: To explore opioid use by aged care facility residents before and after initiation of transdermal opioid patches. Design: A cross‐sectional cohort study, analysing pharmacy data on individual patient supply between 1 July 2008 and 30 September 2013. Setting: Sixty residential aged care facilities in New South Wales. Participants: Residents receiving an initial opioid patch during the study period. Main outcome measure: The proportion of residents who were opioid‐naive in the 4 weeks prior to patch initiation was determined. In addition, the patch strength at initiation and the daily dose of transdermal patches and of additional opioids 1 month after initiation were determined. Results: An opioid patch was initiated in 596 of 5297 residents (11.3%: 2.6% fentanyl, 8.7% buprenorphine) in the 60 residential aged care facilities. The mean age at initiation was 87 years, and 74% of the recipients were women. The proportion of recipients who were opioid‐naive before patch initiation was 34% for fentanyl and 49% for buprenorphine. Most were initiated at the lowest available patch strength, and the dose was up‐titrated after initiation. Around 15% of fentanyl users and 10% of buprenorphine users needed additional regular opioids after patch initiation. Conclusions: The results suggest some inappropriate initiation of opioid patches in Australian residential aged care facilities. Contrary to best practice, a third of residents initiated on fentanyl patches were opioid‐naive in the 4 weeks before initiation.

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“…The surgeon may perform this block under direct vision at the conclusion of the surgery. When compared to caudal anesthetics, ILIH blocks performed in the manner described, under direct vision, or by simple wound infiltration, are as effective as the central block [43][44][45][46][47]. The ILIH block provides a similar duration of postoperative pain relief in the range of 4 to 6 hours, with bupivacaine 0.25% for hernia repair or orchiopexy surgery.…”

Section: Ilioinguinal and Iliohypogastric Nerve Blockmentioning

confidence: 99%

Regional anesthesia for pain relief in children

Ross

Eck

Steele

1999

Current Review of Pain

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Managing pain in children is a complex area that requires an understanding of the unique challenges offered by this young population. Regional anesthesia is emerging as an adjunct to pain management in children, particularly in the perioperative arena.The following article will assist the practitioner with the management of pain in children through regional techniques. Prior to the presentation of the regional techniques, an overview is presented to address the neurodevelopment of the child, the pharmacologic concerns in the younger patients, and the assessment of pain in the different age groups. Several of the commonly performed regional blocks with appropriate dosing guidelines are reviewed, with an emphasis on blocks that are more unique to the pediatric population.

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Regional anaesthesia for hernia repair in children: local vs caudal anaesthesia

Abstract: Regional anaesthesia for hernia repair in children: local vs caudal anaesthesiaThe purpose of this study was to compare the effect of local anaesthesia (1_,,4)

Cited by 72 publications

References 17 publications

Epidural and subarachnoid blockade in children

Epidural and subarachnoid blockade in children

Safety of opioid patch initiation in Australian residential aged care

Regional anesthesia for pain relief in children

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