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Comparison of caudal block using bupivacaine and ketamine with ilioinguinal nerve block for orchidopexy in children
Author(s) -
Findlow D.,
Aldridge L. M.,
Doyle E.
Publication year - 1997
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1997.204-az0346.x
Subject(s) - medicine , bupivacaine , anesthesia , ketamine , urinary retention , sedation , suppository , analgesic , surgery , vomiting , saline , nerve block , pharmacology
Forty boys weighing less than 25 kg undergoing unilateral orchidopexy were randomly allocated to receive one of two analgesic regimens. Group C received a caudal epidural block with 0.25% bupivacaine 1 mlkg −1 and preservative‐free ketamine 0.5 mgkg −1 ; Group L received an ilioinguinal nerve block with 0.25% bupivacaine 0.5 mlkg −1 and infiltration of the wound with 0.25% bupivacaine 0.5 mlkg −1 . All subjects received diclofenac sodium 1–2 mgkg −1 as a rectal suppository. Postoperative pain was assessed by means of a modified Objective Pain Score and analgesia was administered if this exceeded a value of 4. The median duration of analgesia was 10 h (range 2.6 to > 24 h) in Group C and 2.9 h (range 0.7 to > 24 h) in Group L (p < 0.05). There were no differences between groups in the incidence of motor block, urinary retention, postoperative vomiting or postoperative sedation. Subjects in Group L required significantly more doses of postoperative analgesia than those in Group C (p < 0.05).