Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)
Application for ESRA Abstract Prizes: I don’t wish to apply for the ESRA Prizes
Background and Aims The aim of anaesthesia is patient and surgeon comfort, avoiding intraoperative memory and pain. OFA is a multimodal anaesthesia technique that provides adequate analgesia while avoiding the side effects of morphine. .In this context, a study was carried out using an OFA protocol in sub- umbilical and urogenital surgery in children using loco-regional anaesthesia as an alternative to morphine.
Methods Prospective study conducted in the pediatric surgery. This study included children proposed for a surgical procedure scheduled under general anesthesia. Perioperative analgesia by performing peripheral blocks and central blocks according to the type of surgery.
Results 82 children were included in the study, 90% of them were male, 42.5% of the children had a weight between 11kg and 15kg. 95% were classified as ASAI. The most common surgery was inguinal hernia in 17.5% followed by testicular ectopy. More than 2/3 of the children underwent outpatient procedures. Intravenous induction was done with propofol in 97.5% of cases at 3-5mg/kg. Laryngeal mask insertion was the upper airway management technique in 57.5%. Pudendal block was the most used technique in 27.5%. Maintenance was done for all children with 2-3% Sevoflurane. 82.5% of the children did not show a change in heart rate or major haemodynamic changes. Only 20% required anticipatory analgesia with Paracetamol. 42.5% of children had mild discomfort in the immediate postoperative period. No child presented with a complication of loco- regional anaesthesia.
Conclusions OFA in paediatric anesthesia allowing adequate analgesia while avoiding the side effects of opioids; respiratory distress which is increased in children, ileus postoperatively.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.