PMID- 32631395
OWN - NLM
STAT- MEDLINE
DCOM- 20210427
LR  - 20221207
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 15
IP  - 1
DP  - 2020 Jul 6
TI  - One additional shot of brachial plexus block equates to less postoperative pain 
      for younger children with elbow surgeries.
PG  - 246
LID - 10.1186/s13018-020-01778-4 [doi]
LID - 246
AB  - BACKGROUND: Postoperative pain in children has always been inadequately 
      evaluated. This study aims to evaluate the postoperative pain response using an 
      additional dose of brachial plexus block (BPB) for younger children receiving 
      elbow surgeries under general anesthesia (GA). METHODS: This retrospective 
      case-control study included pediatric patients (3-10 years) who underwent 
      surgeries for elbow injuries between January 2015 and January 2019. Patients with 
      previous history of surgeries around the elbow, neurological impairment of 
      injured limb, polytrauma, undergoing pain management for different causes, and 
      open or old fractures were excluded. Patients were dichotomized into the GA group 
      and the GA + BPB group as per the presence or absence of BPB. RESULTS: In all, 
      150 patients (102/48, male/female) in the GA and 150 patients (104/46, 
      male/female) in the GA + BPB group were included. There existed no significant 
      differences between the two groups in age, sex, fracture side, and types of elbow 
      procedures. As for the pain response after lateral condyle fracture of the 
      humerus (LCFH), the FLACC pain scale was significantly higher for those in the GA 
      group (6.2 +/- 0.8) when compared to the GA + BPB group (1.6 +/- 0.5) (P < 0.001). As 
      for the pain response after medial epicondyle fracture of the humerus (MCFH), the 
      FLACC pain scale was significantly higher for those in the GA group (6.0 +/- 0.8) 
      when compared to the GA + BPB group (1.5 +/- 0.5) (P < 0.001). As for the pain 
      response after supracondylar fracture of the humerus (SCFH), the FLACC pain scale 
      was significantly higher for those in the GA group (6.0 +/- 0.8) when compared to 
      the GA + BPB group (1.6 +/- 0.5) (P < 0.001). As for the pain response after 
      cubitus varus correction, the FLACC pain scale was significantly higher for those 
      in the GA group (6.7 +/- 0.7) when compared to the GA + BPB group (2.1 +/- 0.7) (P < 
      0.001). CONCLUSION: An additional shot of BPB for patients undergoing surgeries 
      for elbow surgeries resulted in better postoperative pain response in younger 
      children without significant BPB-related complications.
FAU - Li, Jin
AU  - Li J
AD  - Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, 
      Huazhong University of Science and Technology, Wuhan, 430022, China.
FAU - Rai, Saroj
AU  - Rai S
AD  - Department of Orthopaedics and Trauma Surgery, National Trauma Center, National 
      Academy of Medical Sciences, Mahankal, Kathmandu, Nepal.
FAU - Liu, Ruikang
AU  - Liu R
AD  - First School of Clinical Medicine, Tongji Medical College, Huazhong University of 
      Science and Technology, Wuhan, China.
FAU - Xu, Ruijing
AU  - Xu R
AD  - Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, 
      Huazhong University of Science and Technology, Wuhan, 430022, China.
FAU - Hong, Pan
AU  - Hong P
AUID- ORCID: 0000-0003-2674-3016
AD  - Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, 
      Huazhong University of Science and Technology, Wuhan, 430022, China. 
      hongpan2013@foxmail.com.
LA  - eng
PT  - Journal Article
DEP - 20200706
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Age Factors
MH  - Anesthesia, General
MH  - Brachial Plexus Block/*methods
MH  - Case-Control Studies
MH  - Child
MH  - Child, Preschool
MH  - Elbow/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Pain, Postoperative/*prevention & control
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - *Elbow Injuries
PMC - PMC7339565
OTO - NOTNLM
OT  - Brachial plexus block
OT  - Children
OT  - General anesthesia
OT  - Postoperative pain
COIS- The authors declare that they have no competing interests.
EDAT- 2020/07/08 06:00
MHDA- 2021/04/28 06:00
PMCR- 2020/07/06
CRDT- 2020/07/08 06:00
PHST- 2020/04/21 00:00 [received]
PHST- 2020/06/30 00:00 [accepted]
PHST- 2020/07/08 06:00 [entrez]
PHST- 2020/07/08 06:00 [pubmed]
PHST- 2021/04/28 06:00 [medline]
PHST- 2020/07/06 00:00 [pmc-release]
AID - 10.1186/s13018-020-01778-4 [pii]
AID - 1778 [pii]
AID - 10.1186/s13018-020-01778-4 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2020 Jul 6;15(1):246. doi: 10.1186/s13018-020-01778-4.