当前位置： SCI文献检索 > JOURNAL OF CLINICAL ANESTHESIA期刊下所有文献 > Postoperative analgesia and intraoperative inhalational anesthetic requirements during umbilical herniorrhaphy in children: postincisional local infiltration versus preincisional caudal epidural block.

Postoperative analgesia and intraoperative inhalational anesthetic requirements during umbilical herniorrhaphy in children: postincisional local infiltration versus preincisional caudal epidural block.

Abstract：

STUDY OBJECTIVE:To determine the postoperative analgesic efficacy of, and the effects on, intraoperative inhalational anesthetic requirements of preincisional caudal epidural block versus postincisional infiltration of local anesthetic following umbilical herniorrhaphy in children. DESIGN:Randomized, double-blind, prospective study. SETTING:University medical center. PATIENTS:16 ASA status I and II patients (11 males, 5 females), ages 11 to 20 months, weighing up to 17 kg. INTERVENTIONS:During standard anesthetic care, 16 children were randomized to receive either caudal block with 1.5 ml/kg of 0.2% bupivacaine (group I) or local infiltration of the surgical site with up to 1.2 ml/kg of 0.25% bupivacaine (Group 2). MEASUREMENTS AND MAIN RESULTS:Patients in Group I had significantly decreased pain scores and requirements for supplemental postoperative intravenous (IV) fentanyl. Five of eight patients in Group 1 did not require supplemental IV fentanyl during their in-hospital postoperative course, while all eight patients in Group 2 required supplemental IV fentanyl. The patients who received caudal epidural block also had decreased intraoperative requirements for isoflurane, shorter time to extubation (4.1 +/- 0.8 min vs. 8.4 +/- 1.5 min), and quicker discharge home (129 +/- 13 min vs. 163 +/- 22 min). Five of eight patients in Group 1 were ready for discharge at our usual time of 120 minutes, as opposed to one of eight patients in Group 2. CONCLUSION:Preincisional caudal epidural block is more effective in controlling pain following umbilical herniorrhaphy than is postincisional local infiltration.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Tobias JD

doi

10.1016/s0952-8180(96)00171-7

subject

Has Abstract

pub_date

1996-12-01 00:00:00

pages

634-8

issue

8

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(96)00171-7

journal_volume

8

pub_type

临床试验,杂志文章,随机对照试验

相关文献

JOURNAL OF CLINICAL ANESTHESIA文献大全
  • Anesthetic management of a myotonic dystrophy patient with paraganglionoma.

    abstract：:Myotonic dystrophy (DM), though rare, can significantly complicate anesthesia due to muscular and extra-muscular involvement. When this condition is compounded by a pheochromocytoma, anesthetizing such patients becomes extra challenging. We present a case report of a 61-year-old lady with congenital DM, with the whole...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.03.035

    authors： Subramaniam A,Grauer R,Beilby D,Tiruvoipati R

    更新日期：2016-11-01 00:00:00

  • Systemic ropivacaine toxicity from a peripheral nerve infusion in a medically complex patient.

    abstract：:This is a case of systemic ropivacaine toxicity from a sciatic nerve catheter. A 20-year-old patient after heart transplant with poor systemic perfusion on hemodialysis and multiple medications experienced local anesthetic systemic toxicity 72 hours after placement of a peripheral nerve catheter. The case demonstrates...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.03.021

    authors： Grigg E,Anderson C,Pankovich M,Martin L,Flack S

    更新日期：2015-06-01 00:00:00

  • Transversus abdominis plane block as a component of multimodal analgesia for laparoscopic cholecystectomy.

    abstract：OBJECTIVE:To evaluate and compare intercostal-iliac transversus abdominis plane (TAP) and oblique subcostal TAP (OSTAP) blocks for multimodal analgesia in patients receiving laparoscopic cholecystectomy. DESIGN:A prospective, randomized, double-blinded clinical study. SETTING:Operating room, postoperative recovery ar...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.03.033

    authors： Oksar M,Koyuncu O,Turhanoglu S,Temiz M,Oran MC

    更新日期：2016-11-01 00:00:00

  • Recurrent ST-segment elevations in a patient without significant coronary disease.

    abstract：:We report a case of recurrent ST-segment elevations totaling 7 times over 3 hours during subtotal gastrectomy and the early postoperative period in a patient with no history of coronary artery disease. Possible contributing factors include cold stimulus, epidural anesthesia, and inadequate depth of anesthesia. The fir...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2004.08.013

    authors： Iida R,Yazaki S,Saeki S,Ogawa S

    更新日期：2005-08-01 00:00:00

  • Three concentrations of levobupivacaine for ilioinguinal/iliohypogastric nerve block in ambulatory pediatric surgery.

    abstract：STUDY OBJECTIVE:To compare the postoperative analgesia of three different concentrations of levobupivacaine for ilioinguinal/iliohypogastric (II/IH) block in children undergoing inguinal hernia repair. DESIGN:Double-blind, prospective, randomized, controlled trial. SETTING:Operating room and postoperative recovery ar...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2008.10.012

    authors： Disma N,Tuo P,Pellegrino S,Astuto M

    更新日期：2009-09-01 00:00:00

  • Postoperative atelectasis after one-lung ventilation with the Univent tube in a child.

    abstract：:This case describes a postoperative complication after single-lung ventilation in a 10-year-old patient scheduled for scoliosis repair. This patient underwent an anterior thoracoscopic excision of several vertebral discs followed by a posterior double-rod fixation of her spine. The postoperative course was complicated...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(02)00482-8

    authors： Frölich MA,Janelle GM

    更新日期：2003-03-01 00:00:00

  • Comparison of dexamethasone or intravenous fluids or combination of both on postoperative nausea, vomiting and pain in pediatric strabismus surgery.

    abstract：BACKGROUND:Strabismus surgery is perhaps a pediatric surgical procedure that has the strongest evidence of postoperative nausea and vomiting (PONV) risk. This randomized controlled blind study was designed to evaluate the efficacy of combined therapy of dexamethasone and intraoperative superhydration vs their monothera...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.03.049

    authors： Sayed JA,F Riad MA,M Ali MO

    更新日期：2016-11-01 00:00:00

  • Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.

    abstract：:We present the case report of a 49-year-old gentleman with a history of adenoid cystic carcinoma of the left nare status post curative bifrontal craniotomy, left lateral rhinotomy and medial maxillectomy, adjuvant radiotherapy, and orbital exenteration for optic neuropathy, complicated by medial wall dehiscence. His c...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.05.005

    authors： Waldron NH,Stolp BW,Ogilvie MP,Powers DB,Shaughnessy MR

    更新日期：2016-11-01 00:00:00

  • Effect of stellate ganglion block on hemodynamics and stress responses during CO2-pneumoperitoneum in elderly patients.

    abstract：STUDY OBJECTIVE:Elderly patients undergoing elective laparoscopic cholecystectomy (LC) were given right stellate ganglion block (RSGB) to observe its effects on the hemodynamics and stress response during carbon dioxide (CO2)-pneumoperitoneum. DESIGN:A randomized, single-blinded, and placebo-controlled study. SETTING...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.12.003

    authors： Chen YQ,Xie YY,Wang B,Jin XJ

    更新日期：2017-02-01 00:00:00

  • Action of β-endorphin and nonsteroidal anti-inflammatory drugs, and the possible effects of nonsteroidal anti-inflammatory drugs on β-endorphin.

    abstract：:This study aimed to review research on the effects of nonsteroidal anti-inflammatory drugs (NSAIDs) on β-endorphin. NSAIDs are commonly used as anti-inflammatory and analgesic drugs. They are well known for inducing peripheral analgesia by inhibiting cyclooxygenase (COX). However, an increasing number of studies have ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2016.12.016

    authors： Luan YH,Wang D,Yu Q,Chai XQ

    更新日期：2017-02-01 00:00:00

  • Trimethaphan (Arfonad) control of hypertension and tachycardia during electroconvulsive therapy: a double-blind study.

    abstract：STUDY OBJECTIVE:To ascertain the optimal dose of trimethaphan camsylate administered by intravenous (i.v.) bolus injection for the control of hypertension and tachycardia during electroconvulsive therapy (ECT). DESIGN:Prospective, double blind, within-subject study. SETTING:Treating room of the psychiatric unit of th...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(95)00192-1

    authors： Petrides G,Maneksha F,Zervas I,Carasiti I,Francis A

    更新日期：1996-03-01 00:00:00

  • Greater occipital nerve block for postdural puncture headache (PDPH): a prospective audit of a modified guideline for the management of PDPH and review of the literature.

    abstract：STUDY OBJECTIVE:To perform a prospective audit of the modified guideline for the management postdural puncture headache (PDPH) and present the results at 6 months. DESIGN:Prospective single-center audit. SETTING:University hospital. PATIENTS:24 adult, ASA physical status 1, 2, and 3 patients presenting with PDPH in ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2014.03.006

    authors： Niraj G,Kelkar A,Girotra V

    更新日期：2014-11-01 00:00:00

  • Effect of total intravenous vs volatile anesthetics on intraoperatively acquired electrically evoked compound action potential in children undergoing cochlear implant surgery: A randomized prospective study.

    abstract：OBJECTIVE:The purpose of the present study was to compare the effects of inhalational anesthesia to those of total intravenous anesthesia on intraoperative electrically evoked compound action potential (e-ECAP) thresholds in children undergoing cochlear implantation. STUDY DESIGN:Randomized prospective study. SETTING...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.10.008

    authors： Alhowary AA,El-Radaideh K,Al-Rusan A,Hani DB,Khraise W,Al Omari A,Alzoubi F

    更新日期：2017-02-01 00:00:00

  • Uniport soft-tip, open-ended catheters versus multiport firm-tipped close-ended catheters for epidural labor analgesia: a quality assurance study.

    abstract：STUDY OBJECTIVE:To compare a multiport, firm-tipped, close-ended, epidural catheter (Portex catheter) with a uniport, open-ended, soft-tipped, wire-reinforced catheter (Arrow catheter) in obstetric patients. STUDY DESIGN:Prospective data collection for intradepartmental quality assurance. SETTING:Obstetric unit in a ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(00)00116-1

    authors： Jaime F,Mandell GL,Vallejo MC,Ramanathan S

    更新日期：2000-03-01 00:00:00

  • Airway length in adults: estimation of the optimal endotracheal tube length for orotracheal intubation.

    abstract：STUDY OBJECTIVE:To estimate the optimal endotracheal tube (ETT) length in orotracheally intubated patients. DESIGN:Prospective study. SETTING:Operating room of a medical center hospital. PATIENTS:293 ASA physical status I and II patients (150 male and 143 female), requiring general anesthesia and orotracheal intubat...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(02)00355-0

    authors： Cherng CH,Wong CS,Hsu CH,Ho ST

    更新日期：2002-06-01 00:00:00

  • Comparison of a new visual stylet (Discopo)-guided laryngeal mask airway placement vs conventional blind technique: a prospective randomized study.

    abstract：STUDY OBJECTIVE:To compare the ease of laryngeal mask airway (LMA) insertion and fiberoptic view of LMA after placement using the Discopo visual stylet-guided insertion and conventional blind technique. DESIGN:Prospective, randomized controlled study. SETTING:Operating room in a university hospital. PATIENTS:One hun...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.06.022

    authors： Zhao L,Zhang J,Zhou Q,Jiang W

    更新日期：2016-12-01 00:00:00

  • Intraoperative aberrant bispectral index values due to facial nerve monitoring.

    abstract：:Bispectral index is an accepted depth of anaesthesia monitor for guiding intraoperative hypnotic agent administration. Frontalis EMG displayed on BIS monitor may increase due to twitching of frontalis muscle. EMG increases are also known to cause artefactual increases in BIS values. We report a case of artefactual inc...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.11.005

    authors： Chakrabarti D,Surve RM,Bs D,Masapu D

    更新日期：2017-02-01 00:00:00

  • Increased propofol requirement during succeeding administrations for electroconvulsive therapy.

    abstract：STUDY OBJECTIVE:To study patients' requirement for propofol dosages during the course of repeated deep sedation for electroconvulsive therapy (ECT). DESIGN:Prospective study. SETTING:Outpatient psychiatric clinic in a tertiary-care, university-affiliated, 1100-bed metropolitan hospital. PATIENTS:30 patients undergoi...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jclinane.2003.09.009

    authors： Cohen Y,Feldinger E,Ogorek D,Weinbroum AA

    更新日期：2004-06-01 00:00:00

  • Evaluation of ultrasound-guided transversalis fascia plane block for postoperative analgesia in cesarean section: A prospective, randomized, controlled clinical trial.

    abstract：STUDY OBJECTIVE:Cesarean Delivery (CD) is a commonly performed obstetric procedure. Adding a regional anesthesia technique to multimodal analgesia in CD, may improve the quality of postoperative analgesia. In this study we evaluated the efficacy of Transversalis Fascia Plane Block (TFPB) for postoperative analgesia man...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2019.06.025

    authors： Serifsoy TE,Tulgar S,Selvi O,Senturk O,Ilter E,Peker BH,Ozer Z

    更新日期：2020-02-01 00:00:00

  • Anesthetic management for cardioverter-defibrillator implantation in a patient with Kearns-Sayre syndrome.

    abstract：:Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy and often involves cardiac conduction abnormality and muscle weakness. We report a patient with KSS who had an implantable cardioverter-defibrillator (ICD) implanted during general anesthesia with propofol and nitrous oxide (N2O). These anesthetics did not s...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2004.08.002

    authors： Hara K,Sata T,Shigematsu A

    更新日期：2004-11-01 00:00:00

  • Supplementation of retrobulbar block with clonidine in vitreoretinal surgery: effect on postoperative pain.

    abstract：STUDY OBJECTIVE:To evaluate the effect of clonidine when added to local anesthetics on duration of postoperative analgesia during retrobulbar block. DESIGN:Prospective, randomized controlled trial. SETTING:Operating room and Postanesthesia Care Unit of a university-affiliated hospital. SUBJECTS:80 ASA physical statu...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2010.12.014

    authors： Yazbeck-Karam VG,Siddik-Sayyid SM,Abi Nader EL,Barakat DE,Karam HS,Cherfane GM,Hussein JN,Aouad MT

    更新日期：2011-08-01 00:00:00

  • High-frequency jet ventilation in interventional bronchoscopy: factors with predictive value on high-frequency jet ventilation complications.

    abstract：STUDY OBJECTIVE:To evaluate the incidence and impact on clinical outcome of complications observed during high-frequency jet ventilation (HFJV) at interventional bronchoscopy and to identify the perioperative factors that may be associated to an increased incidence of such complications. DESIGN:Observational retrospec...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jclinane.2005.12.011

    authors： Fernandez-Bustamante A,Ibañez V,Alfaro JJ,de Miguel E,Germán MJ,Mayo A,Jimeno A,Pérez-Cerdá F,Escribano PM

    更新日期：2006-08-01 00:00:00

  • Fibrodysplasia ossificans progressiva: anesthetic management in complex orthopedic spine procedures.

    abstract：:Fibrodysplasia ossificans progressiva (FOP) is a rare disorder of the connective tissue leading to progressive tissue ossification and immobilization. Soft-tissue trauma may exacerbate this condition, causing further ossification. Multisystem involvement includes restrictive lung disease, cervical ankylosis with limit...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2010.11.004

    authors： Gorji R,Li F,Nastasi R,Stuart S

    更新日期：2011-11-01 00:00:00

  • Hemodynamic effects of 6% and 10% hydroxyethyl starch solutions versus 4% albumin solution in septic patients.

    abstract：STUDY OBJECTIVE:To compare the hemodynamic effects of two different concentrations of pentastarch hydroxyethyl starch (HES; 200/0.5) solutions with a 4% human albumin solution for fluid resuscitation. DESIGN:Open-label, randomized, controlled study. SETTING:Medical-surgical intensive care unit. PATIENTS:34 consecuti...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2008.05.022

    authors： Friedman G,Jankowski S,Shahla M,Gomez J,Vincent JL

    更新日期：2008-11-01 00:00:00

  • Unilateral spinal block for outpatient knee arthroscopy: a dose-finding study.

    abstract：STUDY OBJECTIVE:To evaluate the onset time, success rate, and recovery profile of unilateral spinal anesthesia produced with 4 mg, 6 mg, and 8 mg of 0.5% hyperbaric bupivacaine. DESIGN:Prospective, randomized, blinded study. SETTING:Outpatient anesthesia unit at a University Hospital. PATIENTS:90 ASA physical status...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0952-8180(03)00078-3

    authors： Borghi B,Stagni F,Bugamelli S,Paini MB,Nepoti ML,Montebugnoli M,Casati A

    更新日期：2003-08-01 00:00:00

  • Anesthetic management of high-risk cardiac patients undergoing noncardiac surgery under the support of intraaortic balloon pump.

    abstract：:Patients with severely impaired left ventricular function, an uncorrectable coronary artery disease, and a recent myocardial infarction are at high risk of cardiac complications after major noncardiac surgery. We present two patients with extensive three-vessel coronary artery disease who underwent intraperitoneal sur...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(99)00048-3

    authors： Masaki E,Takinami M,Kurata Y,Kagaya S,Ahmed A

    更新日期：1999-06-01 00:00:00

  • Influence of the menstrual cycle on the incidence of nausea and vomiting after laparoscopic gynecological surgery: a pilot study.

    abstract：STUDY OBJECTIVE:To investigate whether the phase of menstrual cycle influences the incidence of postoperative nausea and vomiting (PONV) in women undergoing general anesthesia for elective laparoscopic gynecological surgery. DESIGN:Prospective, observational, blinded study. SETTING:General hospital, Postanesthesia Ca...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2011.07.011

    authors： Šimurina T,Mraovic B,Skitarelić N,Andabaka T,Sonicki Z

    更新日期：2012-05-01 00:00:00

  • The versatile August Bier (1861-1949), father of spinal anesthesia.

    abstract：:"A professor is a gentleman with a different point of view." This characteristic and sarcastic statement was often recited by August Bier (1861-1949) and can also be aptly applied to him. As the father of spinal and intravenous regional neural blockade, Bier had a tremendous impact on surgery and anesthesia. It took h...

    journal_title：Journal of clinical anesthesia

    pub_type： 传,历史文章,杂志文章

    doi：10.1016/s0952-8180(00)00202-6

    authors： Goerig M,Agarwal K,Schulte am Esch J

    更新日期：2000-11-01 00:00:00

  • Spinal epidural hematoma occurrence in the absence of known risk factors: a case series.

    abstract：:Spinal epidural hematoma in the absence of coagulopathy or anticoagulation therapy is an extremely rare occurrence, with a reported incidence of less than 1 in 1 million. We present seven cases of documented epidural hematoma in the absence of coagulopathy or anticoagulation therapy to alert the clinician to consider ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2003.12.007

    authors： Cullen DJ,Bogdanov E,Htut N

    更新日期：2004-08-01 00:00:00

  • Rocuronium is associated with an increased risk of reintubation in patients with soft tissue infections.

    abstract：STUDY OBJECTIVE:To determine risk factors associated with reintubations in adult patients with soft tissue infections. DESIGN:A retrospective case-control design. SETTING:Operating room and postoperative recovery area. PATIENTS:There were 39 patients who presented for surgical intervention of their soft tissue infec...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.03.073

    authors： Greco KM,Conti BM,Bucci CJ,Galvagno SM Jr

    更新日期：2016-11-01 00:00:00