Single injection paravertebral block for renal surgery in children

Berta, Emil; Spanhel, J.; Šmakal, Oldřich; Smolka, Vratislav; Gabrhelík, Tomáš; Lönnqvist, Per‐Arne

doi:10.1111/j.1460-9592.2008.02592.x

Cited by 38 publications

(28 citation statements)

References 25 publications

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“…The use of ultrasound guidance has led to new approaches to plexus anaesthesia in children (Fleischmann et Continuous paravertebral extrapleural infusions provided effective analgesia in infants following thoracotomy (Fisher et al, 1999 Level IV). Single-shot paravertebral injection provided effective analgesia after renal surgery (Berta et al, 2008 Level IV) and inguinal hernia repair Level IV).…”

Section: Chapter 10mentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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Section: Chapter 10mentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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“…In another study in paediatric patients undergoing renal surgery, the analgesic effects of a single TPVB injection were sustained for a mean of 600 min without additional analgesics, thus indicating the effective analgesic action of TPVB even without continuous administration. 15 TPVB in children has also been used quite successfully for outpatient anaesthesia. 16 Since its first description in 1994, the procedure of real-time ultrasound-guided regional anaesthesia has been widely used.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Investigations for Appropriate Needle Positioning for Thoracic Paravertebral Blockade inChildren

et al. 2012

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“…Berta et al [7] studied the effect of PVB on postoperative pain in children undergoing renal surgeries under general anaesthesia and reported that the median duration of postoperative analgesia was 600 min (range 180-720 min) and 10 patients (41.7%) did not need analgesia while 14 patients (58.3%) needed analgesia during the first 12 postoperative hours, but in our study the duration of postoperative analgesia was 16.25 ± 1.66 h (mean ± sd) and 7 patients (17.9%) needed analgesia during the first 24 postoperative hours. The differences between our results and Berta' s results may be due to different type of surgeries in both studies also in our study we used local anaesthetic drug pluse dexmetomidine which is known to potentiate the effect of local anaesthetics as reported by Esmaoglu A et al [20].…”

Section: Discussionmentioning

confidence: 99%

“…Both caudal and paravertebral blocks were used successfully in pediatrics to improve postoperative analgesia [6,7].…”

Section: Introductionmentioning

confidence: 99%

Paravertebral Block vs. Caudal Block Using Dexmedetomidine Plus Local Anesthetics for Inguinal Hernia Repair in Pediatrics: A Randomized Prospective Trial

Khalil¹,

Marouf²

2017

J Anesth Clin Res

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Aim: We aimed to compare the effects of caudal block (CB) and paravertebral block (PVB) using dexmedetomidine plus local anesthetics on postoperative pain and analgesia requirements in pediatrics after inguinal hernia surgery.Methods: This randomized prospective study was carried out on 80 pediatric patients underwent inguinal hernia repair. Two groups (each 40 patients) were included in the study: group CB and group PVB. After a standardized general anaesthesia, caudal or lumbar paravertebral block was performed using bupivacaine (0.25%) and dexemetomidine 1 μg/kg . We recorded FLACC score, number of patients needed rescue analgesia, the total number of doses of rescue analgesia, the duration of postoperative analgesia, parents satisfaction and adverse events.Results: FLACC score was higher in group (CB) compared with group (PVB) at 12 h and 16 h postoperative. The total number of patients need postoperative analgesia and the total number of doses of postoperative analgesia were higher in group (CB) compared with group (PVB). The duration of postoperative analgesia was significantly longer in group (PVB) than group (CB) (16.25 ± 1.66 vs. 10.69 ± 1.34). Parent satisfaction was higher in group (PVB) than group (CB). No major complications were detected in both groups.Conclusion: paravertebral block (using dexmedetomidine+local anaesthetics) was associated with better postoperative analgesia and higher parents satisfaction compared to caudal block (using dexmedetomidine+local anaesthetics) for inguinal hernia repair in children.

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Single injection paravertebral block for renal surgery in children

Abstract: Single injection PVB provided clinically relevant postoperative analgesia in children undergoing major renal surgery.

Cited by 38 publications

References 25 publications

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Anatomical Investigations for Appropriate Needle Positioning for Thoracic Paravertebral Blockade inChildren

Paravertebral Block vs. Caudal Block Using Dexmedetomidine Plus Local Anesthetics for Inguinal Hernia Repair in Pediatrics: A Randomized Prospective Trial

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