A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children
Joint Authors
Husayn, Riham M.
al-Sunbati, Muhammad I.
Khattab, Sarah M.
Muhammad, Muhammad F.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 4 (31 Dec. 2015), pp.628-633, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-12-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background Caudal anesthesia (CA) is used in pediatrics to avoid the possible side effect of postoperative opioids and allows for smooth and rapid emergence from anesthesia.
Opioids were added to the injection in CA to prolong the effect of anesthesia.
Objective To compare the effect of bupivacaine alone and with nalbuphine in CA.
Patients and methods A total of 40 patients scheduled for operations under general anesthesia combined with CA were divided into two groups: in group B, CA was carried out by injection of bupivacaine 0.25% in a dose of 1 ml/kg, and in group NB, CA was carried out by injection of bupivacaine 0.25% 1 ml/kg with nalbuphine 0.1 mg/kg.
Hemodynamic changes, oxygen saturation, pain score at 2, 4, 6, 12, 24 h postoperative, sedation score, incidence of postoperative urine retention, and duration of motor block were compared in both groups.
The respiratory depression effect of nalbuphine was also recorded.
Results There were no signifi cant differences between the two groups regarding the hemodynamic changes.
There were signifi cant differences in postoperative pain score and sedation as group NB had prolonged analgesia and prolonged sedation time than group B.
There were no signifi cant differences in urine retention and motor block between both groups.
Conculsion Nalbuphine added to bupivacaine in CA provides longer postoperative analgesia and sedation without respiratory depression.
American Psychological Association (APA)
Muhammad, Muhammad F.& Husayn, Riham M.& al-Sunbati, Muhammad I.& Khattab, Sarah M.. 2015. A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children. Ain Shams Journal of Anesthesiology،Vol. 8, no. 4, pp.628-633.
https://search.emarefa.net/detail/BIM-655314
Modern Language Association (MLA)
Muhammad, Muhammad F.…[et al.]. A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children. Ain Shams Journal of Anesthesiology Vol. 8, no. 4 (Oct. / Dec. 2015), pp.628-633.
https://search.emarefa.net/detail/BIM-655314
American Medical Association (AMA)
Muhammad, Muhammad F.& Husayn, Riham M.& al-Sunbati, Muhammad I.& Khattab, Sarah M.. A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 4, pp.628-633.
https://search.emarefa.net/detail/BIM-655314
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 632-633
Record ID
BIM-655314