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Comparison of postoperative pain relief impact between caudal bupivacaine alone and caudal bupivacaine-dexamethasone mixture administration for pediatric local tube urethroplasty
المؤلفون المشاركون
al-Majali, Zahi
Batarsah, Emil
Daamah, Sadiq
Qabha, Anan
Haddadin, Maram
المصدر
Journal of the Royal Medical Services
العدد
المجلد 21، العدد 4 (31 ديسمبر/كانون الأول 2014)، ص ص. 19-24، 6ص.
الناشر
الخدمات الطبية الملكية الأردنية
تاريخ النشر
2014-12-31
دولة النشر
الأردن
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Objective : To compare the postoperative analgesic influence between caudal bupivacaine only and caudal bupivacaine-dexamethasone combination administration in children undergoing local tube urethroplasty.
Methods : This prospective, randomized and clinical trail investigation included 162 male pediatric patients, classed I by the American society of anesthesiologists, aged 11-14 years and assigned for local tube urethroplasty at Queen Rania Hospital, King Hussein Medical Center, Amman-Jordan, during the year of 2013.
General anesthesia was induced using inhalational sevoflurane / oxygen anesthesia, after which a laryngeal mask airway was inserted and an intravenous line was secured.
All subjects were repositioned to receive caudal sacral block using randomly either plain bupivacaine 0.25 % mixed with normal saline 0.9 % (Group I, n = 80) or plain bupivacaine 0.25 % mixed with dexamethasone 0.1 mg / kg (Group II, n = 82), not exceeding a total volume of 0.5 ml / kg and not exceeding a maximum dose of 2 mg / kg of bupivacaine in both groups, dividing the total volume in ¾ for bupivacaine and ¼ for dexamethasone, saline or both.
Postoperatively, in the recovery room, rectal paracetamol 10 mg / kg was administered if the numerical rating scale was more or equal to four.
Postoperative analgesia quality was assessed.
Statistical discrepancies between the two groups were evaluated using Students t and Chi-square tests.
Variance was used to assess inter-group differences in changes of pain scores.
A value of P < 0.05 was considered significant.
Results : Postoperative mean pain free period was significantly less in group I (186 min) than in group II (272 min) (P < 0.05).The mean time to first rectal paracetamol dose was 192 min.
in group II and 125 min.
in group I (P < 0.05).
Conclusions : The combination of caudal bupivacaine-dexamethasone significantly enhanced the postoperative analgesic profile compared to caudal bupivacaine-saline in children undergoing local tube urethroplasty under combined general-caudal anesthesia.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Majali, Zahi& Batarsah, Emil& Daamah, Sadiq& Qabha, Anan& Haddadin, Maram. 2014. Comparison of postoperative pain relief impact between caudal bupivacaine alone and caudal bupivacaine-dexamethasone mixture administration for pediatric local tube urethroplasty. Journal of the Royal Medical Services،Vol. 21, no. 4, pp.19-24.
https://search.emarefa.net/detail/BIM-516588
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Majali, Zahi…[et al.]. Comparison of postoperative pain relief impact between caudal bupivacaine alone and caudal bupivacaine-dexamethasone mixture administration for pediatric local tube urethroplasty. Journal of the Royal Medical Services Vol. 21, no. 4 (Dec. 2014), pp.19-24.
https://search.emarefa.net/detail/BIM-516588
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Majali, Zahi& Batarsah, Emil& Daamah, Sadiq& Qabha, Anan& Haddadin, Maram. Comparison of postoperative pain relief impact between caudal bupivacaine alone and caudal bupivacaine-dexamethasone mixture administration for pediatric local tube urethroplasty. Journal of the Royal Medical Services. 2014. Vol. 21, no. 4, pp.19-24.
https://search.emarefa.net/detail/BIM-516588
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 23-24
رقم السجل
BIM-516588
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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