Comparative study between caudal dexmedetomidine with bupivacaine versus ketamine with bupivacaine for postoperative analgesia after inguinoscrotal surgery in pediatric patients
Joint Authors
Abd al-Aziz, Abd al-Aziz A.
Abd Allah, Walid
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 4 (31 Dec. 2015), pp.634-638, 5 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-12-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Objectives : The aim of this randomized, double-blinded study was to compare the duration of postoperative analgesia and sedation, and the incidence of any side effect of single-dose caudal dexmedetomidine with bupivacaine versus ketamine with bupivacaine in pediatric patients undergoing inguinoscrotal surgeries.
Patients and methods A total of 60 pediatric patients, 2–5 years of age, American Society of Anesthesiologists physical status I or II, scheduled for inguinoscrotal surgeries were included in the study.
The patients were divided into two equal groups: group A patients (n = 30) received dexmedetomidine with bupivacaine, whereas group B patients (n = 30) received ketamine with bupivacaine.
For each patient, postoperative sedation score, pain score, duration of analgesia, and postoperative complications were recorded.
Results The duration of postoperative analgesia was longer in group A than in group B, and sedation score was lower in group B than in group A, which was statistically signifi cant.
No signifi cant postoperative complications were recorded in both groups.
Conclusion The use of dexmedetomidine, as an additive to the local anesthetic bupivacaine in caudal epidural analgesia, during single-dose injection, prolonged the duration of postoperative analgesia following inguinoscrotal surgery compared with caudal administration of ketamine with bupivacaine, but with more sedation compared with ketamine.
Both groups showed few side effects.
American Psychological Association (APA)
Abd al-Aziz, Abd al-Aziz A.& Abd Allah, Walid. 2015. Comparative study between caudal dexmedetomidine with bupivacaine versus ketamine with bupivacaine for postoperative analgesia after inguinoscrotal surgery in pediatric patients. Ain Shams Journal of Anesthesiology،Vol. 8, no. 4, pp.634-638.
https://search.emarefa.net/detail/BIM-655493
Modern Language Association (MLA)
Abd al-Aziz, Abd al-Aziz A.& Abd Allah, Walid. Comparative study between caudal dexmedetomidine with bupivacaine versus ketamine with bupivacaine for postoperative analgesia after inguinoscrotal surgery in pediatric patients. Ain Shams Journal of Anesthesiology Vol. 8, no. 4 (Oct. / Dec. 2015), pp.634-638.
https://search.emarefa.net/detail/BIM-655493
American Medical Association (AMA)
Abd al-Aziz, Abd al-Aziz A.& Abd Allah, Walid. Comparative study between caudal dexmedetomidine with bupivacaine versus ketamine with bupivacaine for postoperative analgesia after inguinoscrotal surgery in pediatric patients. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 4, pp.634-638.
https://search.emarefa.net/detail/BIM-655493
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 638
Record ID
BIM-655493