{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:51:07Z","timestamp":1747187467856,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Optimal pain management after insertion of a central venous catheter in children remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to evaluate the effects of a selective supraclavicular nerve block on postoperative analgesia in pediatric patients undergoing hickman catheter or chemoport insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty patients aged 3\u201318\u2009years scheduled for elective Hickman or chemoport insertion were randomized into two groups of 25 each: one group received an ultrasound\u2010guided selective supraclavicular nerve block with 0.1\u2009mL\/kg of 0.5% ropivacaine (SSCNB group), and the other group did not receive a nerve block (control group). The primary outcome was the postoperative Wong\u2010Baker Faces Pain Rating Scale score measured between 10 and 30\u2009min after surgery. Secondary outcomes included pain scores at 1, 3, and 24\u2009h after the surgery, block\u2010related complications, length of stay in the postanesthesia care unit, postoperative analgesic consumption, and time to first analgesic use 24\u2009h after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The worst pain score within 30\u2009min in the recovery room was significantly lower in the SSCNB group compared to the control group (6 [5\u20137] vs. 3 [2\u20134]; median difference, \u22123; 95% CI, \u22124 to \u22121; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Pain scores at 1, 3, and 24\u2009h after surgery were also significantly lower in the SSCNB group. The need for both opioid and non\u2010opioid analgesics in the postoperative period was significantly lower in the SSCNB group (36.0% vs. 0%; <jats:italic>p<\/jats:italic>\u2009=\u2009.002 and 44.0% vs. 16.0%; mean difference, \u221228%; 95% CI, \u221256 to 0.19; <jats:italic>p<\/jats:italic>\u2009=\u2009.033, respectively), while other secondary outcomes were not significantly different between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ultrasound\u2010guided SSCNB is an effective method for managing postoperative pain in children undergoing Hickman catheter or chemoport insertion, reducing the need for analgesics within 24\u2009h after surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14745","type":"journal-article","created":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T21:45:38Z","timestamp":1692567938000},"page":"35-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ultrasound\u2010guided selective supraclavicular nerve block for postoperative pain control in children receiving Hickman catheter or chemoport insertion: A randomized controlled trial"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8816-5605","authenticated-orcid":false,"given":"Jung\u2010Bin","family":"Park","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u2010Sun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1633-9426","authenticated-orcid":false,"given":"Pyo\u2010Yoon","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6736-4464","authenticated-orcid":false,"given":"Sang\u2010Hwan","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7511-4104","authenticated-orcid":false,"given":"Young\u2010Eun","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0697-1935","authenticated-orcid":false,"given":"Eun\u2010Hee","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8384-8191","authenticated-orcid":false,"given":"Ji\u2010Hyun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2661-7944","authenticated-orcid":false,"given":"Hee\u2010Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3738-0081","authenticated-orcid":false,"given":"Jin\u2010Tae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine Seoul National University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-015-2481-1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.22.01357"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/hemato3030033"},{"key":"e_1_2_11_5_1","first-page":"224","article-title":"Ultrasound guided supraclavicular block","volume":"15","author":"Hanumanthaiah D","year":"2013","journal-title":"Ultrasound Guided Supraclavicular Block Medical 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