Important to the overall experience for a child undergoing elective surgery is effective pain management. In this excellent study by Dingeman et al,1 a randomized prospective trial compared infiltration of local anesthetic with an ultrasonography-guided bilateral rectus sheath block (BRSB) after umbilical hernia repair. The authors report that the overall pain scores were better with fewer supplemental pain medications needed in the BRSB group.
Warner BW. Pain Control After Umbilical Hernia RepairHow Difficult Can We Make It?. JAMA Surg. 2013;148(8):713-714. doi:10.1001/jamasurg.2013.1453