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[size=20px]A 5-year-old child is undergoing umbilical hernia repair. Which of the following would you expect to be most successful in limiting perioperative opioid administration?

 

A Transversus abdominus plane block prior to the incision

 

B Rectus sheath block prior to the incision

 

C Rectus sheath block at the end of the operation

 

D Local wound administration at the end of the operation[/size]

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Correct answer

B Rectus sheath block prior to the incision

 

A rectus sheath block is the most appropriate regional anesthesia technique for an umbilical hernia repair given the single-site incision. In comparison to local wound infiltration, a rectus sheath block provides superior analgesia and, when administered at the beginning of the operation, limits both intra-operative and post-operative opioid use.

 

IMG_7821.jpg.0ce4af0dd8b17707304d2378be402033.jpg

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