Ultrasound-guided quadratus lumborum block for postoperative analgesia in a pediatric patient.

We present our experience with the use of an unilateral QLB to provide postoperative analgesia in a 3-year-old pediatric patient weighing 14 kg who underwent a unilateral inguinal hernia repair. His family was satisfied with the general status and pain cessation in the patient. PMID: 31736020 [PubMed - in process]
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research

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CONCLUSION: SIL is a laparoscopic technique that can safely be offered to patients presenting abdominal diseases. The main advantages include enhanced cosmetic results and reduced abdominal trauma. The main disadvantages are patient selection, a longer operative time for some procedures, and a need to expose the operative field for some other procedures. PMID: 31710087 [PubMed - in process]
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
Anesthetizing children with extreme cardiopulmonary illness can be especially challenging. In adults, a host of alternatives to general anesthesia for the labile patient are available, However, in children, these techniques may be challenging due to a lack of patient cooperation. Distraction techniques have been successfully used to reduce procedural pain. The patient whose case is reported here required surgery for inguinal hernia repair after repeated bowel incarceration. Due to severe end-stage cardiomyopathy, the risk of general anesthesia was deemed excessive. Distraction was used to usher the patient through an awake...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
ConclusionAs PDH can lead to major and life threatening complications, it must remain in our minds as a possible cause of intestinal obstruction.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Authors: Tamura T, Kaneko K, Yokota S, Kitao T, Ando M, Kubo Y, Nishiwaki K Abstract This randomized, observer-blinded prospective study aimed to compare the postoperative analgesic effects of ultrasound-guided rectus sheath block with those of local anesthetic infiltration of the surgical field in children undergoing inguinal hernia repair. Children aged 2 to 14 years, scheduled for elective single-incision laparoscopic percutaneous extraperitoneal closure, were randomly allocated to receive ultrasound-guided rectus sheath block (group R) or local anesthetic infiltration of the surgical field (group L). In group R...
Source: Nagoya Journal of Medical Science - Category: International Medicine & Public Health Tags: Nagoya J Med Sci Source Type: research
Conclusions and relevanceNo definite conclusions to decide on the superiority of one of either treatment strategies can yet be drawn from the available literature. There was evidence of substantial heterogeneity and the clinical relevance of most estimated effects is very limited.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
In this study, the researchers looked at opioid prescriptions in 2016, and the numbers are shocking. In the US, 22% of prescriptions written by dentists were for opioids, compared with just 0.6% for British dentists, and US dentists prescribed about 35 opioids per 1,000 population, compared to just 0.5 opioid prescriptions per 1,000 population in England. Additionally, the opioid prescribed in England was a relatively weak codeine-like drug, whereas in the US the majority of prescriptions were for hydrocodone, a stronger opioid with greater abuse potential. When does an opioid prescription make sense? It is simply impossib...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Pain Management Source Type: blogs
Abstract BACKGROUND: Perioperative anxiety is common in pediatric patients undergoing surgery. AIM: The aim of this study was to determine whether an infusion of dexmedetomidine prior to hernia repair in children provides better postoperative anxiety outcomes that a preoperative infusion of midazolam. METHODS: Ninety 6-11 year-old children, who were scheduled to undergo elective hernia repair, were enrolled for this double-blind, randomized controlled trial. Group D (n = 45) received an intravenous infusion of dexmedetomidine (0.5μg/kg) and Group M (n = 45) received an intravenous infusion of midazola...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
I read with great interest the article by Cartmill et  al.1 The authors performed a retrospective national analysis of pediatric patients undergoing umbilical hernia repair and concluded that, although many patients do not require opioids for umbilical hernia repair, most pediatric patients fill opioid prescriptions, including for prolonged courses an d refills. The authors should be applauded for performing a well-designed study on an important topic (eg, acute pain) in patients undergoing surgery.
Source: Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
I read with great interest the article of Horton and colleagues [1] in which the authors performed a retrospective study on 470 procedures (tonsillectomies and hernia repairs) and detected a significant variation in post-operative prescribing practices and overall over-prescription of opioids after these common pediatric surgical procedures. The authors should be applauded for performing a well-designed study in an important topic (e.g., acute pain) in patients undergoing pediatric surgery [2,3].
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Correspondence Source Type: research
ConclusionOur results indicate similar outcome after laparoscopic and open techniques for groin hernia repair in children. The surgeon ’s preference as well as the wishes of the patient and parents should therefore determine the surgical approach.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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