Evidence map›Paper›PMID 41229896›Full record

Trial reportJournal of pain research2025

Impact of Ultrasound-Guided Rectus Abdominis Sheath Block on Analgesia and Agitation During the Awakening Period in Children Undergoing Single-Incision Laparoscopic Inguinal Hernia Repair: A Randomized Clinical Trial.

An Chen, Ruijinlin Hao, Chen Wang, Can Gu, Xingguo Xu

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Fascial plane blocks in pediatric patients.Journal of anesthesia, analgesia and critical care · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

An ChenCenter for Rehabilitation Medicine, Department of Anesthesiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, People's Republic of China.
Ruijinlin HaoDepartment of Anesthesiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
Chen WangDepartment of Anesthesiology, Chinese People's Liberation Army Navy Specialized Medical Center, Shanghai, People's Republic of China.
Can GuDepartment of Anesthesiology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, People's Republic of China.
Xingguo XuDepartment of Anesthesiology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Inguinal hernia repair (IHR) is one of the most common pediatric surgeries, particularly in early childhood. Postoperative pain from IHR can cause significant psychological and physiological distress in children. This study investigates the efficacy and safety of ultrasound-guided rectus sheath block (RSB) in managing postoperative pain and emergence agitation (EA) in children undergoing single-incision laparoscopic inguinal hernia repair, aiming to improve strategies for postoperative care. Patients and Methods: This single-blind, prospectively, randomized controlled trial enrolled 90 pediatric patients who were randomly assigned to three groups, they were respectively the bilateral rectus abdominis sheath block group under ultrasound guidance (Group R), Local anesthesia infiltration group (Group L) and blank control group (Group C). Primary outcomes included the incidence of EA. Secondary outcomes comprised pain scores, opioid consumption, and adverse events, and Pediatric Anesthesia Emergence Delirium (PAED) scales at various postoperative time points. Results: EA incidence was significantly reduced in Groups R compared to Group C (RR [95% confidence interval] of 0.083 [0.007,0.019], Conclusion: Ultrasound-guided RSB is a safe and effective technique for postoperative analgesia in pediatric single-incision laparoscopic inguinal hernia repair. It provides superior pain relief, reduces EA incidence, and minimizes opioid use. These findings suggest that RSB may be a valuable adjunct to general anesthesia for this specific procedure.

Indexed as

emergence agitationinguinal hernia repairpostoperative analgesiarectus sheath block

Identifiers

PMID41229896
PMCPMC12604495

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.