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[The para-umbilical block in children: 75 cases report]
Ndoye M Diop1, E Diouf, M D Beye
1Département d'Anesthésie-Réanimation, H.A.L. Dantec, Dakar. mariediopndoye@caramail.com
Dakar Medical
|March 24, 2005
Summary
Para-umbilical block provides effective analgesia for infants undergoing umbilical hernia repair. This technique, combined with general anesthesia, ensures adequate intraoperative and postoperative pain management with minimal complications.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Pain Management
Background:
- Umbilical hernia repair is common in infants.
- Opioid and muscle relaxant-free anesthesia is desirable for pediatric patients.
- Para-umbilical block offers a potential adjunct for analgesia.
Purpose of the Study:
- To evaluate the efficacy of para-umbilical block for intraoperative and postoperative analgesia.
- To assess pain management in infants undergoing umbilical hernia repair without opioids or muscle relaxants.
Main Methods:
- Prospective study of 75 infants (5 months - 13 years) undergoing umbilical hernia repair.
- General anesthesia with thiopentone/halothane and halothane maintenance.
- Para-umbilical block with 0.25% marcaine (1 ml/kg).
- Pain assessment via respiratory rate, heart rate, and mean arterial pressure changes (>20% indicating poor analgesia).
Main Results:
- Intraoperative analgesia was adequate in 97.3% of patients.
- Good or satisfactory surgical conditions were achieved in 100% of cases.
- Postoperative analgesia was adequate in 93.3% of infants at 1 and 6 hours.
Conclusions:
- Para-umbilical block is a simple, efficient, and safe method for analgesia in pediatric umbilical hernia surgery.
- This opioid-sparing technique provides effective pain control.
- The approach is well-tolerated by infants.