title: Ropivacaine 0.2% versus Bupivacaine 0.25% in para-umbilical block in children.
abstract: BACKGROUND
  Para-umbilical block was an old block that regains a new interest. No study was available using Ropivacaine in this block.
  
  
  OBJECTIVE
  To compare quality of analgesia after using Ropivacaine 0.2% to Bupivacaine 0.25% in para-umbilical blocks.
  
  
  METHODS
  In a prospective randomized double blind study we included one to six years old children, scheduled for umbilical herniorrhaphy. The children were randomized in two groups to receive in para-umbilical block by side: Ropivacaine 0.2%: 0.2 ml.kg-1 (group GR) or Bupivacaine 0.25%: 0.2 ml.kg-1 (group GB).
  
  
  RESULTS
  The data of 75 children (GR= 38; GB= 37) were analyzed. The groups were comparable regarding the demographics' characters. The scores of Children's Hospital of Eastern Ontario Pain Scale in different postoperative times were comparable between the two groups. No difference was noted in the time of the first analgesic request. The two groups were comparable regarding the peroperative analgesia. No complication was recorded in this study.
  
  
  CONCLUSIONS
  Ropivacaine 0.2% is equivalent to the Bupivacaine 0.25% concerning postoperative and peroperative analgesia in the para-umbilical block for umbilical herniorrhaphy.
authors: Department of anaesthesia and intensive care, Children's Hospital, Tunis, Tunisia - Tunis Medical School, Tunis El Manar University.
authors: Amjed
authors: A
authors: Fekih Hassen
authors: Sonia
authors: S
authors: Ben Khalifa
authors: Ali
authors: A
authors: Ghribi
authors: Mehdi
authors: M
authors: Trifa
mesh_terms: D000577:Amides / Q000008:administration & dosage*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009407:Nerve Block / Q000379:methods; D011446:Prospective Studies; D000077212:Ropivacaine; D014472:Umbilicus
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine; D002045:Bupivacaine