The Effect of Local Anesthetic Volumes in Ultrasound-Guided Rectus Sheath Block on Anesthetic and Analgesic Agent Consumption in Children

2016-12-30T05-45-32Z
Source: Cukurova Medical Journal
serkan yıldırmaz, mediha türktan, ersel güleç, zehra hatipoğlu, dilek özcengiz.
Objective: Rectus sheath block is one of the common used analgesia tecniques in pediatric surgery. This study aimed to evaluate the effect of ultrasound-guided rectus sheath block by using two different volume on consumption of peroperative anesthetic and postoperative analgesic agents undergoing major abdominal surgery in children. Methods: After the approval of the ethics committee and the parents' consent, American Society of Anesthesiologists (ASA) I-II, 40 patients between 1-16 years and scheduled for major abdominal surgery were included in this study. After induction of general anesthesia, patients were randomly divided into two groups. Ultrasound-guided rectus sheath block was performed with 0.1 ml/kg 0.25% levobupivacaine (total volume of 0.1 ml/kg to be diluted with saline) in Group I (n=20) and 0.1 ml/kg 0.25% levobupivakain (total volume of 0.4 ml/kg to be diluted with saline) in Group II (n=20). Hemodynamic data and sevoflurane consumption during the surgery, pain scores, the sedation levels and additional analgesia requirement after the surgery were recorded. Results: The demographic characteristics of the groups were similar. Inspired sevoflurane concentration and consumed sevoflurane amount were similar in both groups (p>0.05). The total sevoflurane consumption was 106.85±28.6 ml in Group I and 91.50±36.6 ml in Group II (p>0.05). There were no statistically significant differences between postoperative pain levels, sedation scores and additional analgesic consumption of the groups (p>0.05). Conclusion: Ultrasound-guided rectus sheath block provide an effective and safe analgesia in children undergoing major abdominal surgery but increased local anesthetic volume does not reduce intraoperative sevoflurane consumption and additional analgesic requirements.


from Scope via xlomafota13 on Inoreader http://ift.tt/2hwtnGM
via IFTTT