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Analgesia and Sedation Practices for Incarcerated Inguinal Hernias in Children

Division of Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

Christopher Sulowski, MD

Division of Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

Savithiri Ratnapalan, MBBS, MEd, MRCP, FRCPC, FAAP

Division of Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada, savithiri.ratnapalan{at}sickkids.ca

In this study, the use of medications for analgesia and/or sedation for incarcerated inguinal hernia reductions in the emergency department was analyzed. A retrospective chart review was conducted for all patients presenting to a pediatric emergency department with incarcerated inguinal hernia from 2002 to 2005. A total of 99 children presented with incarcerated hernias during the study period. The median age was 11 months. Forty-four percent of children received medication for the procedure, of them 75% received parenteral and 25% oral or intranasal medications. Forty-five percent of children who received medication went through at least 1 hernia reduction attempt initially without medications. More than half the children with incarcerated inguinal hernias did not receive any medication for pain and/or sedation prior to hernia reduction. Guidelines for medication use for children with incarcerated inguinal hernias need to be developed.

Key Words: inguinal hernia • incarcerated hernia • hernia reduction • sedation • analgesia • children

This version was published on October 1, 2008

Clinical Pediatrics, Vol. 47, No. 8, 766-769 (2008)
DOI: 10.1177/0009922808316990


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