Controlled trial of wound infiltration with bupivacaine for postoperative pain relief after appendicectomy in children

Abstract

A double-blind controlled trial was performed to assess the effectivene, of wound infiltration with bupivacaine for postoperative pain relief after appendicectomy in children. Sixty children entered the trial and 52 completed it; they were randomized to receive bupivacaine or placeb Assessment of postoperative pain using a numerical scoring system was made by the child, the recovery sister and the ward sister, and 52 measurement of the time between the end of the operation and the need for narcotic injection. Analysis revealed significantly less pain (P < 0·03) in the immediate postoperative period in the treated ground The use of bupivacaine wound infiltration as a supplement to other current methods of pain control is recommended.