Pediatric anesthesia & critical care
Ultrasound‐guided selective supraclavicular nerve block for postoperative pain control in children receiving Hickman catheter or chemoport insertion: A randomized controlled trial
Primary result · Worst pain score within 30 min in the recovery roomResult — go to the resultMedian difference −3 95% CI −4 to −1Authors' conclusion
Ultrasound-guided SSCNB is an effective method for managing postoperative pain in children undergoing Hickman catheter or chemoport insertion, reducing the need for analgesics within 24 h after surgery.
Study context
- Population
- Children aged 3–18 years scheduled for elective Hickman catheter or chemoport insertion
- Participants
- 50 children
- Comparison
- SSCNB vs Control
- SSCNBn = 25
- Controln = 25reference
- Primary endpoint
- Postoperative Wong-Baker Faces Pain Rating Scale score
- Follow-up
- Between 10 and 30 min after surgery
Methodological detailsultrasound-guided
- Ultrasound-guided
Primary result
As reported in the abstract
Worst pain score within 30 min in the recovery room · within 30 min
Median difference
−3
95% CI −4 to −1
P < 0.001
By group
SSCNB
3
median · IQR 2–4
Control
6
median · IQR 5–7
SSCNB vs Control
median difference −3 (95% CI −4 to −1); P < 0.001
Secondary outcomes
Need for postoperative opioid analgesics
P = 0.002
| Outcome | SSCNB | Control | Mean difference (95% CI) | P value | |
|---|---|---|---|---|---|
| Need for postoperative non-opioid analgesics | 16.0% | 44.0% | −28% (−56 to 0.19) | P = 0.033 | |
| −100−50050Difference (linear scale) |
- Need for postoperative opioid analgesics: printed as "36.0% vs. 0%"; need stated to be lower in the SSCNB group
- Need for postoperative non-opioid analgesics: printed as "44.0% vs. 16.0%"; need stated to be lower in the SSCNB group
Pain scores at 1, 3 and 24 h after surgery
- Significantly lower in the SSCNB group
PACU LOS, time to first analgesic use within 24 h
- Other secondary outcomes not significantly different between the two groups
Original publication
Ultrasound‐guided selective supraclavicular nerve block for postoperative pain control in children receiving Hickman catheter or chemoport insertion: A randomized controlled trial. Paediatr Anaesth. Published 16 August 2023. doi:10.
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