title: [Effectiveness of Sacral Intervertebral Epidural Block for Umbilical Hernia Repair in Children].
abstract: BACKGROUND
  Effectiveness of sacral intervertebral epidural block (S 2-3 block) for umbilical hernia repair has not been clarified.
  
  
  METHODS
  We investigate 24 children, undergoing umbilical hernia repair; mean age of 3 years (age range: 20-65 months). Under general anesthesia, epidural block was performed at S 2-3 interspace with 1 ml x kg(-1) ropivacaine (0.2%) at injecting rate of 1 ml x sec(-1) followed by 0.25 ml x kg(-1) normal saline.
  
  
  RESULTS
  In all cases, neither systolic blood pressure nor heart rate increased > 15% from those just before the block. Postoperative analgesics were given in 6 patients (25%) rectally. Mean time between the block and the administration of analgesic was 10.5 hours.
  
  
  CONCLUSIONS
  S 2-3 block can be effective for postoperative pain in umbilical hernia repair.
authors.forename: Norimitsu
authors.initials: N
authors.lastname: Nagamine
authors.forename: Atsushi
authors.initials: A
authors.lastname: Furuya
authors.forename: Sho
authors.initials: S
authors.lastname: Suzuki
authors.forename: Satoko
authors.initials: S
authors.lastname: Kondo
authors.forename: Riko
authors.initials: R
authors.lastname: Kiuchi
authors.forename: Satomi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Akihiko
authors.initials: A
authors.lastname: Nonaka
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000767:Anesthesia, Epidural / Q000379:methods*; D002675:Child, Preschool; D006339:Heart Rate / Q000187:drug effects; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007223:Infant; D010149:Postoperative Pain / Q000188:drug therapy; D013116:Spinal Cord
chemical_list: D018712:Analgesics, Non-Narcotic; D000082:Acetaminophen