Comparison of rectus sheath block and local anesthetic for analgesia in pediatric umbilical hernia repair: A systematic review and meta-analysis.
Medicine (Baltimore)
; 101(36): e30391, 2022 Sep 09.
Article
em En
| MEDLINE
| ID: mdl-36086758
ABSTRACT
BACKGROUND:
Pediatric umbilical hernia repair could cause considerable postoperative discomfort. This study aimed to compare the analgesia between rectus sheath block and local anesthetic infiltration in child pediatric umbilical hernia repair.METHODS:
The relevant randomized controlled trials were searched from PubMed, Embase, Web of Science, EBSCO, and Cochrane library databases from its inception to October 2020. The random-effects model was used for meta-analysis.RESULTS:
Four randomized controlled trials were included in the meta-analysis. The 4 studies were published between 2006 and 2017, with sample sizes ranging from 13 to 52 and a total of 143 individuals across the 4 studies. The Jadad scores of the 4 included studies ranged from 4 to 5, and all 4 studies were considered high quality based on quality assessment. There was no difference in analgesic effect at 10 minutes (standardized mean difference [SMD]â =â -0.19; 95% confidence interval [CI]â =â -1.52 to 1.16; Pâ =â .78), 30 minutes (SMDâ =â -0.37; 95% CI = -1.53 to 0.78; Pâ =â .52), 1 hour (SMDâ =â -0.73; 95% CIâ =â -2.00 to 0.53; Pâ =â .26) after surgery. Besides, there was no significant difference in postoperative nausea (risk ratioâ =â 0.95; 95% CIâ =â 0.18 to 5.02; Pâ =â .95) and postoperative morphine use in morphine equivalents (mean differenceâ =â -0.95; 95% CIâ =â -0.06 to 0.01; Pâ =â .12).CONCLUSION:
Rectus sheath block and local anesthetic are effective methods for analgesia in pediatric umbilical hernia repair.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hérnia Umbilical
/
Analgesia
/
Bloqueio Nervoso
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
/
Systematic_reviews
Limite:
Child
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article