{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T01:32:44Z","timestamp":1689384764645},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:p> This retrospective study compared post-operative epidural analgesia (E), continuous peripheral nerve blocks (CPNB) and morphine infusion (M) in 68 children undergoing limb reconstruction with circular frames. The data collected included episodes of severe pain, post-operative duration of analgesia, requirement for top-up analgesia, number of osteotomies, side effects and complications. There was a significant difference between the number of episodes of severe pain in patients receiving a morphine infusion and those receiving epidurals or CPNB (M vs E, p &lt; 0.0001; M vs CPNB, p = 0.018). The CPNB group was associated with the lowest incidence of episodes of severe pain and top-up analgesia. Epidural analgesia was associated with significantly more nausea and vomiting than morphine infusion (p = 0.053) and CPNB (p = 0.023). It also had a significantly higher incidence of motor blockade than CPNB (p &lt; 0.01). We found that the most effective method of post-operative analgesia for children undergoing lower limb reconstruction was sciatic nerve catheterisation and continuous infusion. <\/jats:p>","DOI":"10.1302\/0301-620x.93b11.26246","type":"journal-article","created":{"date-parts":[[2011,11,4]],"date-time":"2011-11-04T18:58:26Z","timestamp":1320433106000},"page":"1562-1567","source":"Crossref","is-referenced-by-count":2,"title":["A comparison of methods of post-operative analgesia in children undergoing limb reconstruction with circular frames"],"prefix":"10.1302","volume":"93-B","author":[{"given":"E.","family":"Wells-Cole","sequence":"first","affiliation":[{"name":"Royal Manchester Children\u2019s Hospital, Oxford\rRoad, Manchester M13 9WL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Royal Manchester Children\u2019s Hospital, Oxford\rRoad, Manchester M13 9WL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Fines","sequence":"additional","affiliation":[{"name":"Royal Manchester Children\u2019s Hospital, Oxford\rRoad, Manchester M13 9WL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Zenios","sequence":"additional","affiliation":[{"name":"Royal Manchester Children\u2019s Hospital, Oxford\rRoad, Manchester M13 9WL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","first-page":"123","volume":"12","author":"Sluga M","year":"2003","journal-title":"J Pediatr Orthop B"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0133-8"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318162ab49"},{"key":"r4","first-page":"570","volume":"90","author":"Higgins GA","year":"2007","journal-title":"J Bone Joint Surg [Br]"},{"key":"r5","first-page":"156","volume":"88","author":"Rozbruch S","year":"2006","journal-title":"J Bone Joint Surg [Am]"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12518836439326"},{"key":"r7","first-page":"81","volume":"250","author":"Paley D","year":"1990","journal-title":"Clin Orthop"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/72.1.25"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1987.tb01346.x"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2001.00659.x"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1097\/00003643-199711000-00005"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(93)90616-S"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199807000-00018"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200511000-00018"},{"key":"r15","first-page":"349","volume":"77","author":"Schmidt NR","year":"2009","journal-title":"AANA J"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1097\/00115550-200203000-00010"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.1999.00384.x"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-7258(99)00006-6"},{"key":"r19","first-page":"1069","volume":"65","author":"Dalens B","year":"1986","journal-title":"Anaesth Anal"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-009-9169-8"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1016\/S0952-8180(99)00092-6"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000198561.03742.50"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem373"}],"container-title":["The Journal of Bone and Joint Surgery. 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