Fell D, Derrington M C, Taylor E, Wandless J G
Department of Anaesthesia, Leicester Royal Infirmary.
Anaesthesia. 1988 Feb;43(2):107-10.
Fifty children who underwent day case herniotomy received either a caudal injection of 1 ml/kg bupivacaine 0.25% or infiltration of the wound edges at the end of surgery with 0.5 ml/kg bupivacaine 0.25%, allocated at random. Postoperative pain and demeanour were assessed initially by an observer and later by use of a parental questionnaire. Wound infiltration of local anaesthetic solution provided analgesia which was comparable to that associated with caudal block, and the incidence of side effects was similar in the two groups. Wound infiltration of local anaesthetic offers a simple, safe alternative to caudal block for provision of postoperative analgesia in this group of patients.
五十名接受日间疝修补术的儿童被随机分配，一组在手术结束时接受1毫升/千克0.25%布比卡因的骶管注射，另一组接受0.5毫升/千克0.25%布比卡因对伤口边缘的浸润。术后疼痛和行为最初由一名观察者评估，随后通过家长问卷进行评估。局部麻醉溶液的伤口浸润提供的镇痛效果与骶管阻滞相当，两组的副作用发生率相似。对于这组患者，局部麻醉的伤口浸润为提供术后镇痛提供了一种简单、安全的替代骶管阻滞的方法。
