A prospective randomised study was performed to compare postoperative analgesia produced by caudal block with that of local wound infiltration in 54 children following unilateral inguinal herniotomy. There was no statistically significant difference in the analgesia produced by these two methods. The requirement for additional postoperative analgesia and the incidence of side-effects was similar in the two groups.
MayA.E., WandlessJ., JamesR.H.Analgesia for circumcision in children: a comparison of caudal bupivacaine and intramuscular buprenorphine. Acta Anaesth Scand1982; 26: 331–333.
2.
ShandlingB., StewardD.J.Regional analgesia for postoperative pain in pediatric outpatient surgery. J Pediatr Surg1980; 15: 477–480.
3.
LunnJ.N.Postoperative analgesia after circumcision: a randomised comparison between caudal analgesia and intramuscular morphine in boys. Anaesthesia1979; 34: 552–554.
4.
BaghdassarianR., TanseyL.A., MartinD.C., ShanbergA.M.Use of bupivacaine as block to relieve postoperative pain in pediatric orchiopexy and hernia repair. Urology1986; 27: 537–539.
5.
McGrathP.J., JohnsonG., GoodmanJ.T., SchillingerJ., DunnJ., ChapmanJ.CHEOPS: A behavioural scale for rating post-operative pain in children. Advance Pain Res Ther Vol 9. Fields., eds. Raven Press, New York1985; 395–402.
6.
FellD., DerringtonM.C., TaylorE., WandlessJ.G.Paediatric postoperative analgesia: a comparison between caudal block and wound infiltration of local anaesthetic. Anaesthesia1988; 43: 107–110.
7.
CrossG.D., BarrettR.F.Comparison of two regional techniques for postoperative analgesia in children following herniotomy and orchidopexy. Anaesthesia1987; 42: 845–849.
8.
YeomanP.M., CookeR., HainW.R.Penile block for circumcision? A comparison with caudal blockade. Anaesthesia1983; 38: 862–866.
9.
Massey DawkinsC.J.An analysis of the complications of extradural and caudal block. Anaesthesia1969; 24: 554–563.
