Comparison of ropivacaine with bupivacaine and lidocaine for ilioinguinal block after ambulatory inguinal hernia repair in children

• Published in: Pediatric anesthesia Vol. 14; no. 6; pp. 468 - 470
• Main Authors: Tsuchiya, Naohisa, Ichizawa, Manami, Yoshikawa, Yukiko, Shinomura, Tetsutaro
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.06.2004; Blackwell
• Subjects: ambulatory; Ambulatory Surgical Procedures; Amides; Analgesics - therapeutic use; Anesthesia; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Anesthetics, Local; Biological and medical sciences; Bupivacaine; Child; Child, Preschool; Female; Hernia, Inguinal - surgery; Humans; Ilioinguinal block; Infant; Lidocaine; Male; Medical sciences; Nerve Block; Pain Measurement; Pain, Postoperative - drug therapy; Pain, Postoperative - prevention & control; ropivacaine; Single-Blind Method; Wong-Baker FACES Pain Rating Scale; Human; Wong-Baker FACES Pain Rating Scale; Anticonvulsant; Ropivacaine; Antiarrhythmic agent; Local anesthetic; Bupivacaine; Pain; Ilioinguinal block; Anesthesia; Block; Ambulatory; Face; Lidocaine; Child; Inguinal hernia; Comparative study
• ISSN: 1155-5645; 1460-9592
• DOI: 10.1111/j.1460-9592.2004.01234.x

Summary Background : We have compared ropivacaine with bupivacaine and lidocaine for ilioinguinal block in thirty children undergoing ambulatory inguinal hernia repair. Methods : Patients were assigned randomly to receive 0.5 ml·kg−1 of 0.2% ropivacaine (Group R, n = 10), 0.25% bupivacaine (Group B, n = 10) or 1% lidocaine (Group L, n = 10). The patients’ parents, who were not informed of the type of local anaesthetic employed, evaluated the postoperative pain at 2 h and 6 h after operation using the Wong–Baker FACES Pain Rating Scale. Results : There was a significant difference in the face scale score between Group R and Group L, and Group B and Group L. There was no difference in the face scale score between Group R and Group B. There were no complications or clinical evidence of local anaesthetic toxicity. Conclusions : We have confirmed that bupivacaine and ropivacaine are more effective than lidocaine in the prevention of postoperative pain after children's inguinal hernia repair. We suggest that ropivacaine 0.2% is an alternative to bupivacaine 0.25% for ilioinguinal block in ambulatory paediatric surgery.