Why the study?
Does pre-operative intramuscular diclofenac or caudal bupivacaine reduce postoperative pain in children undergoing herniotomy or orchidopexy?
Population
250 children undergoing herniotomy or orchidopexy under general anaesthesia
Comparison
Pre-operative intramuscular diclofenac sodium 1… vs No analgesia (control group)
Design
RCT, randomly allocated, ward nurses who were blinded to the group allocation
Follow-up
postoperative period
Authors
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IM diclofenac reduces later opioid needs after pediatric inguinal surgery; extends evidence for NSAIDs as alternative to caudal analgesia.
Does pre-operative intramuscular diclofenac or caudal bupivacaine reduce postoperative pain in children undergoing herniotomy or orchidopexy?
A single intramuscular dose of diclofenac significantly reduces the need for opioid analgesics in children after inguinal herniotomy or orchidopexy, offering an alternative or complement to caudal analgesia.
Ryhänen et al. (1994) studied this question.
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