Erschienen in:
Pediatric Anesthesia, 23 (2013) 12, Seite 1199-1204
Sprache:
Englisch
DOI:
10.1111/pan.12267
ISSN:
1155-5645;
1460-9592
Entstehung:
Hochschulschrift:
Anmerkungen:
Beschreibung:
<jats:title>Summary</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To analyze the applicability of <jats:styled-content style="fixed-case">US</jats:styled-content>‐guided rectus sheath block and to find out the efficacy of analgesia provided using this method without the need for opioids in conventional Hypertrophic pyloric stenosis (<jats:styled-content style="fixed-case">HPS</jats:styled-content>) surgery in infants.</jats:p></jats:sec><jats:sec><jats:title>Background</jats:title><jats:p>This study describes the provision of intra‐ as well as postoperative analgesia by the use of an ultrasound‐guided rectus sheath block in infants undergoing conventional <jats:styled-content style="fixed-case">HPS</jats:styled-content> surgery under general anesthesia.</jats:p></jats:sec><jats:sec><jats:title>Methods/Materials</jats:title><jats:p>The anesthetic protocols of 26 infants undergoing <jats:styled-content style="fixed-case">HPS</jats:styled-content> surgery were reviewed retrospectively.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The weight of the infants ranged from 2.6 to 4.6 kg. The rectus sheath block was regarded as successful in all patients as there was no heart rate increase upon surgical skin incision in any of the patients. Two out of 26 (7.6%) babies needed additional intraoperative rescue analgesia and were administered fentanyl at 20 and 40 min after skin incision. Two more (a total of 4; 15.3%) babies required postoperative analgesia and were administered tramadol droplets and liquid ibuprofen at 15, 120 and 150 min postoperatively. Duration of surgery was significantly longer in those two patients who required intraoperative rescue analgesia (<jats:styled-content style="fixed-case">W</jats:styled-content>ilcoxon–<jats:styled-content style="fixed-case">M</jats:styled-content>ann–<jats:styled-content style="fixed-case">W</jats:styled-content>hitney test: <jats:italic>P</jats:italic> < 0.05). These were also the only two patients who received one intra‐ and one postoperative dose of opioid each (7.6%).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p><jats:styled-content style="fixed-case">US</jats:styled-content>‐guided rectus sheath block seems to be a simple and quick method for the provision of intra‐ and postoperative analgesia in infants undergoing conventional <jats:styled-content style="fixed-case">HPS</jats:styled-content> surgery.</jats:p></jats:sec>