In children undergoing umbilical hernia repair is rectus sheath block effective at reducing post-operative pain? Best evidence topic (bet).
A best evidence topic was constructed according to a structured protocol. The question addressed was: In children undergoing umbilical hernia repair is a rectus sheath block (RSB) better than local anaesthetic infiltration of the surgical site, at reducing post-operative pain? From a total of 34 papers, three studies provided the best available evidence on this topic. One randomised clinical trial showed RSB had a better analgesic effect in the immediate post-operative period. In another randomised trial opioid consumption in the peri-operative period was found to be significantly lower in patients administered RSB. These improvements in pain and analgesia consumption need to be balanced against the expertise, training, equipment required, time implications and complications of performing a RSB.
['Rajwani|Kapil M|KM|', 'Butler|Sarah|S|', 'Mahomed|Anies|A|']
D000698:Analgesia D000701:Analgesics, Opioid D000772:Anesthesia, Local D002648:Child D002675:Child, Preschool D019317:Evidence-Based Medicine D005260:Female D006554:Hernia, Umbilical D059685:Herniorrhaphy D006801:Humans D009186:Myelin Sheath D009407:Nerve Block D059408:Pain Management D010149:Pain, Postoperative D017568:Rectus Abdominis
Umbilical hernia repair Rectus sheath block Paediatric regional anaesthesia