The addition of triamcinolone acetonide to bupivacaine has no effect on the quality of analgesia produced by ilioinguinal nerve block.
In a study of 30 men undergoing elective inguinal hernia repair under general anaesthesia no difference in postoperative pain, patient rating score or morphine consumption was found between patients who had pre-operative ilioinguinal nerve block with bupivacaine 0.5% plain and those who received a similar block with bupivacaine 0.5% plain and triamcinolone acetonide 40 mg. Mean (SD) morphine requirements using a patient-controlled analgesia system were 37 (22.2) mg and 32 (20.3) mg in the bupivacaine and bupivacaine/triamcinolone groups respectively (p > 0.05). The addition of triamcinolone 40 mg to bupivacaine 0.5% offers no advantages over unsupplemented bupivacaine when used for ilioinguinal block.
McCleane
G
G
Craigavon Area Hospital, Co Armagh, N. Ireland.
Mackle
E
E
Stirling
I
I
D016058:Analgesia, Patient-Controlled; D002045:Bupivacaine; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D009407:Nerve Block; D010149:Postoperative Pain / Q000517:prevention & control*; D013997:Time Factors; D014222:Triamcinolone Acetonide
D009020:Morphine; D014222:Triamcinolone Acetonide; D002045:Bupivacaine