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Pre-emptive analgesia : comparing caudal analgesia using bupivacaine alone and bupivacaine with morphine in hip surgery in children
Joint Authors
al-Dahiyat, Ghazi
al-Khalayilah, Khalid K.
Awdat, Abd Allah
al-Batayinah, Mufid
al-Khatib, Taysir
Source
Journal of the Royal Medical Services
Issue
Vol. 8, Issue 2 (31 Dec. 2001), pp.20-22, 3 p.
Publisher
The Royal Medical Services Jordan Armed Forces
Publication Date
2001-12-31
Country of Publication
Jordan
No. of Pages
3
Main Subjects
Topics
Abstract EN
Objective: Pre-emptive analgesia is superior to other types of analgesia for post-operative pain relief.
We compared two methods of caudal analgesia for hip surgery over a one-year period between July 1998 and July 1999.
Methods: Ninety patients undergoing hip surgery under general anesthesia were divided into two groups.
In group one, 44 children were given caudal analgesia using 0.25 % bupivacaine (0.5 ml / kg) with morphine (50 fig / kg), and in group two, 46 children were given caudal analgesia using 0.25 % bupivacaine (0.5 ml / kg) alone.
The pain scores, respiratory rates, analgesic requirements and side effects were observed for 24 hours post-operatively.
Urine retention by the first passage of urine was also monitored.
Results : There was no statistically significant difference between the two groups with respect to age, weight and duration of surgery.
The pain scores in the first post¬operative hour were significantly lower for the bupivacaine plus morphine group compared to the bupivacaine alone group (p < 0.05).
The respiratory rates were significantly lower in the bupivacaine plus morphine group at 15 and 30 minutes post-operatively only.
There was no statistically significant difference between the two groups with respect to other side effect like urine retention, nausea, vomiting and pruritus.
Conclusion: Pre-operative analgesia is effective and safe by the caudal route, but is more efficient with a mixture of local anesthetic and an opiate.
American Psychological Association (APA)
al-Dahiyat, Ghazi& al-Khalayilah, Khalid K.& al-Batayinah, Mufid& al-Khatib, Taysir& Awdat, Abd Allah. 2001. Pre-emptive analgesia : comparing caudal analgesia using bupivacaine alone and bupivacaine with morphine in hip surgery in children. Journal of the Royal Medical Services،Vol. 8, no. 2, pp.20-22.
https://search.emarefa.net/detail/BIM-130660
Modern Language Association (MLA)
al-Khatib, Taysir…[et al.]. Pre-emptive analgesia : comparing caudal analgesia using bupivacaine alone and bupivacaine with morphine in hip surgery in children. Journal of the Royal Medical Services Vol. 8, no. 2 (Dec. 2001), pp.20-22.
https://search.emarefa.net/detail/BIM-130660
American Medical Association (AMA)
al-Dahiyat, Ghazi& al-Khalayilah, Khalid K.& al-Batayinah, Mufid& al-Khatib, Taysir& Awdat, Abd Allah. Pre-emptive analgesia : comparing caudal analgesia using bupivacaine alone and bupivacaine with morphine in hip surgery in children. Journal of the Royal Medical Services. 2001. Vol. 8, no. 2, pp.20-22.
https://search.emarefa.net/detail/BIM-130660
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 22
Record ID
BIM-130660