Analgesic Efficacy of Caudal Block <i>Versus</i> Diclofenac Suppository and Local Anesthetic Infiltration Following Pediatric Laparoscopy

Borkar, Jyoti; Dave, Nandini

doi:10.1089/lap.2005.15.415

Cited by 17 publications

(6 citation statements)

References 7 publications

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“…In that trial, 50 children, having a variety of mostly non-urologic procedures, were randomized to receive either caudal blocks or a diclofenac suppository and local anesthesia. No difference was found in pain scores, and other outcome measures were not assessed [25]. [11].…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 89%

Perioperative effects of caudal and transversus abdominis plane (TAP) blocks for children undergoing urologic robot-assisted laparoscopic surgery

Faasse

Lindgren

Frainey

et al. 2015

Journal of Pediatric Urology

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Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 89%

Perioperative effects of caudal and transversus abdominis plane (TAP) blocks for children undergoing urologic robot-assisted laparoscopic surgery

Faasse

Lindgren

Frainey

et al. 2015

Journal of Pediatric Urology

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“…Borkar and Dave[ 20 ] compared the analgesic efficacy of caudal block against diclofenac suppository with local anesthetic infiltration in children undergoing laparoscopy. They found that the analgesic efficacy of diclofenac suppository combined with local anesthetic infiltration at port sites were comparable to caudal block.…”

Section: Discussionmentioning

confidence: 99%

Postoperative analgesia in pediatric herniotomy - Comparison of caudal bupivacaine to bupivacaine infiltration with diclofenac suppository

2016

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Context:Perioperative analgesia in paediatric herniotomies demand safe, effective and less invasive strategies. Local infiltration with Bupivacaine, rectal Diclofenac and caudal Bupivacaine are widely used for pain relief.Aims:To compare the analgesic effects of caudal epidural using 1 mlkg-1 of 0.25% Bupivacaine against a combination of local infiltration 0.25% Bupivacaine 0.5 mlkg-1 with Diclofenac suppository 2 mgkg-1 in the management of post-operative pain following paediatric inguinal herniotomy.Settings and Design:This is an observational study from a tertiary care teaching hospital.Methods and Material:A total of 60 children for elective unilateral inguinal herniotomy were assigned to two groups of 30 each. Patients who received caudal block with 1 mlkg-1 of 0.25% Bupivacaine were allocated to Group A and who received Diclofenac suppository 2 mgkg-1 and infiltration with 0.25% Bupivacaine 0.5 mlkg-1 were allocated to Group B. Post operative Pain was assessed using Hannallah's modified objective pain scale. At score ≥3 rescue analgesic oral Paracetamol 15 mgkg-1 was given. Pain was assessed at 0,15,30,45,60 minutes and half hourly thereafter until 8 hours following surgery or until patient requires rescue analgesic whichever happens first.Statistical Analysis Used:Employed SPSS software. Data was analysed using sample t test and P-value was calculated.Results:The demographic profile was comparable between two groups. The mean analgesic duration in group A and group B was 228.5 and 331.0 minutes respectively and is found to be statistically significant (P < 0.05).Conclusions:Diclofenac suppository with local infiltration is a less invasive and effective alternative to caudal Bupivacaine for analgesia in paediatric herniotomy.

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“…The amounts of abomasal content were 20 g, which was sufficient for a nutrition study. The human experience of laparoscopy suggests that it is a painful procedure (Borkar and Dave 2005), which is also likely to be the case with sheep. It is assumed that the use of a general anaesthetic was a distressing and probably painful experience, and most of the pain arising during the laparoscopy procedure is due to stretching of the peritoneum, caused by distension of the abdomen with CO 2 (Stafford et al 2006).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic abomasal cannulation in sheep

Zhang¹,

Fu²,

Y.³

et al. 2015

Vet. Med. - Czech

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Abomasal cannulation, an important research tool in experimental procedures, provides a method for the placement of an abomasal cannula in sheep. The aim of this study was to describe a technique for laparoscopic abomasal cannulation in sheep. It was performed in six anaesthetised sheep positioned in dorsal recumbency using three portals in the abdomen. The first absorbable traction suture was placed 1 cm cranial to the determined abomasal cannula site. A stab incision was made with a laparoscopic monopolar hook electrode in the middle of a purse-string suture placed around the abomasal cannula site. The T-shaped cannula was inserted into the abomasum lumen through the stab incision, and the second traction suture was then placed 1 cm caudal to the abomasal cannula site. The T-shaped abomasal cannula was pulled out of the abdominal cavity through the exit wound located 3-5 cm lateral and 10-12 cm cranial to the right side of the umbilicus. The two traction sutures were tied. The T-shaped cannula was secured to the skin with a finger-trap suture. Repeat laparoscopy was performed 1 month later. Firm adhesion between the abomasum and abdominal wall was observed in all sheep, with no evidence of leakage or peritonitis. No major intraoperative or postoperative complications were encountered. The median surgical time was 49 min, with a range from 42 to 58 min. The abomasal contents were collected easily. In conclusion, laparoscopic abomasal cannulation is safe and easy to perform. Its low complication rates and the "ideal" placement of the tube into the abomasum make it an especially attractive alternative to traditional surgical abomasal cannulation in veterinary practice.

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Analgesic Efficacy of Caudal Block Versus Diclofenac Suppository and Local Anesthetic Infiltration Following Pediatric Laparoscopy

Cited by 17 publications

References 7 publications

Perioperative effects of caudal and transversus abdominis plane (TAP) blocks for children undergoing urologic robot-assisted laparoscopic surgery

Perioperative effects of caudal and transversus abdominis plane (TAP) blocks for children undergoing urologic robot-assisted laparoscopic surgery

Postoperative analgesia in pediatric herniotomy - Comparison of caudal bupivacaine to bupivacaine infiltration with diclofenac suppository

Laparoscopic abomasal cannulation in sheep

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