دورية أكاديمية
A randomized-controlled, double-blind comparison of the postoperative analgesic efficacy of caudal bupivacaine and levobupivacaine in minor pediatric surgery
| العنوان: | A randomized-controlled, double-blind comparison of the postoperative analgesic efficacy of caudal bupivacaine and levobupivacaine in minor pediatric surgery |
|---|---|
| المؤلفون: | Ahmet Sen, Mehmet Salih Colak, Engin Erturk, Yakup Tomak |
| المصدر: | Korean Journal of Anesthesiology, Vol 66, Iss 6, Pp 457-461 (2014) |
| بيانات النشر: | Korean Society of Anesthesiologists, 2014. |
| سنة النشر: | 2014 |
| المجموعة: | LCC:Anesthesiology |
| مصطلحات موضوعية: | bupivacaine, epidural analgesia, fentanyl, levobupivacaine, minor surgical procedures, pediatrics, Anesthesiology, RD78.3-87.3 |
| الوصف: | BackgroundWe compared the postoperative analgesic efficacy of caudal levobupivacaine with bupivacaine in pediatric subumbilical surgery.MethodsSixty American Society of Anesthesiologists I-II patients scheduled for elective minor surgery (1.5-7 years old) were randomly divided into three groups to receive caudal injections of study drugs at 0.5 ml/kg. All patients received 0.1 mg/kg oral midazolam 30 min before surgery. Group B received 0.125% bupivacaine, group L received 0.125% levobupivacaine, and group LF received 0.125% levobupivacaine + 0.5 µg/kg fentanyl. Blood pressure, heart rate and sedation (using a four-scale sedation score) were monitored perioperatively. During the postoperative period, an anesthesiologist blinded to the study groups used the Children's and Infants' Postoperative Pain Scale to monitor patients' pain and degree of sedation. The time before the first rescue analgesic was recorded as well as any side effects over the next 24 h.ResultsThe four-scale sedation and postoperative pain scale scores in all groups were identical. Blood pressure and heart rate measured at 15 min postoperatively were lower, and time to first rescue analgesic was longer, in Group LF compared to the others.ConclusionsCaudal 0.5 ml/kg of 0.125% bupivacaine and levobupivacaine are equally effective for postoperative analgesia after subumbilical surgeries in pediatric patients. Addition of fentanyl may lower the required amount of local anesthetics. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2005-6419 2005-7563 |
| Relation: | http://ekja.org/upload/pdf/kjae-66-457.pdf; https://doaj.org/toc/2005-6419; https://doaj.org/toc/2005-7563 |
| DOI: | 10.4097/kjae.2014.66.6.457 |
| URL الوصول: | https://doaj.org/article/7d34c08333a74efe8d28cb7b0d3c9352 |
| رقم الأكسشن: | edsdoj.7d34c08333a74efe8d28cb7b0d3c9352 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20056419 20057563 |
|---|---|
| DOI: | 10.4097/kjae.2014.66.6.457 |