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EP234 Comparison of morphine spinal analgesia with paravertebral block for renal surgeries in pediatric patients: A prospective randomised study
  1. Maha Ben Mansour,
  2. Ines Koobaa,
  3. Fares Ben Salem,
  4. Imen Trimech,
  5. Sarra Sammari,
  6. Amine Ben Slimene,
  7. Sawsen Chakroun and
  8. Mourad Gahbiche
  1. Anesthésie Réanimation, CHU Fattouma Bourguiba Monastir, Monastir, Tunisia


Background and Aims Renal surgeries in children, are associated with important post-operative pain. Good post-operative analgesia is essential to allow effective coughing and early mobilisation to reduce the occurrence of post-operative complications. This study was undertaken to compare the analgesic efficacy of morphine spinal anlgesia with ultrasound-guided single-shot paravertebral block in children undergoing renal surgeries

Methods sixty children aged 4 – 14 years, of ASA status I/II, posted for elective renal surgeries. Interventions: The children were randomised into two groups (Group MSA: morphine spinal analgesia, Group PVb: paravertebral block). After induction of general anesthesia, SA or paravertebral block was performed under ultrasound guidance, with respectivly morphine or 0.2% ropivacaine. Measurements: Time to first rescue analgesia, intraoperative and post-operative hemodynamics, post-operative FLACC scores, incidence of complications, parental satisfaction scores were recorded

Results Children in Group PVB had significantly longer duration of analgesia (p < 0.0004) than Group MSA. Post-operative FLACC scores (p < 0.005) and analgesic requirements (p < 0.0004) were lower in Group PVB. The mean fentanyl requirement over 24 h in group PVB was 0.56 ± 0.82 μg/kg, compared to 1.8 ± 1.2 μg/kg in groupMSA. Parents in Group PVB reported greater satisfaction (p < 0.02). No complications were seen in either of the groups.

Conclusions This study showed superior analgesia and parental satisfaction with single-shot paravertebral block in comparison to spinal anlgesia for renal surgeries in children. However, the block performance in children requires adequate expertise and practice

  • analgesia
  • child
  • paravertebral block
  • renal surgery

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