Abstract | BACKGROUND: METHODS: We studied children, aged 1-5 yr, undergoing inguinal hernia and hypospadias surgery. After standard induction of anesthesia, Group I received 0.2% ropivacaine 0.5 ml/kg and Group II received 0.2% ropivacaine 0.5 ml/kg with 2 microg/kg neostigmine via the caudal route. Heart rate, mean arterial pressure, and pulse oximetry were recorded before induction, after induction, and then every 10 min after caudal anesthesia. Hemodynamic, Toddler-Preschooler Postoperative Pain Scale pain score, and sedation score values were recorded 30 min after extubation and at hours 2, 4, 6, 12, and 24. A pain score greater than 3/10 resulted in administration of rectal paracetamol. RESULTS: There were no differences between the groups in demographic and hemodynamic data, duration of surgery and anesthesia, time to extubation, or sedation scores. The pain scores were significantly lower in Group II at 6 and 12 h (P < 0.05). Time to first analgesic requirement was statistically prolonged in Group II (19.2 +/- 5.5h) when compared with Group I (7.1 +/- 5.7 h) (P < 0.05). Total analgesic consumption was statistically larger in Group I (174 +/- 96 mg) when compared with Group II (80 +/- 85.5 mg) (P < 0.05). The incidence of vomiting (3 patients in Group II and 1 patient in Group I) was not statistically significantly different. CONCLUSIONS:
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Authors | Alparslan Turan, Dilek Memiş, Umit N Başaran, Beyhan Karamanlioğlu, Necdet Süt |
Journal | Anesthesiology
(Anesthesiology)
Vol. 98
Issue 3
Pg. 719-22
(Mar 2003)
ISSN: 0003-3022 [Print] United States |
PMID | 12606917
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Amides
- Neostigmine
- Ropivacaine
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Topics |
- Amides
(administration & dosage)
- Anesthesia, Caudal
- Child
- Child, Preschool
- Humans
- Infant
- Neostigmine
(administration & dosage)
- Pain, Postoperative
(drug therapy)
- Ropivacaine
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