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Analgesia and Sedation Practices for Incarcerated Inguinal Hernias in Children
Khalid Al-Ansari,
Christopher Sulowski,
and
Savithiri Ratnapalan*
* To whom correspondence should be addressed. E-mail: savithiri.ratnapalan{at}sickkids.ca.
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Abstract |
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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.
First published on May 19, 2008, doi:10.1177/0009922808316990
Clinical Pediatrics 2008;47:766.
A more recent version of this article appeared on October 1, 2008
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