Enhancement of bupivacaine caudal analgesia by using dexamethasone or clonidine in children undergoing subumbilical surgery
Joint Authors
Solanki Nilesh M.
Engineer Smita R.
Patel Rahul B.
Vecham Pavan K.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 9, Issue 2 (30 Jun. 2016), pp.274-279, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2016-06-30
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background and aims Caudal analgesia produces profound intraoperative, as well as postop erative analgesia, with minimal psychological alteration in children.
Because of its short duration, various additives have been used to prolong the duration of analgesia.
The present study aimed to evaluate the effect of adding dexamethasone and clonidine to bupivacaine in caudal analgesia for children undergoing subumbilical surgeries.
Patients and methods We conducted a prospective, randomized, single-blinded study on 100 patients of either sex belonging to the American Society of Anesthesiologists’ physical status I, II in the age group 1–12 y ears, and undergoing subumbilical surgery under general anesthesia, were enrolled.
Written informed consent was obtained from their parents.
Patients were randomly divided into two groups (group D and C).
Group D received 1 ml/kg of 0.25% bupivacaine with 0.2 mg/ kg of dexamethasone in normal saline and group C received 1 ml/kg of 0.25% bupivacaine with 1 μg/kg of clonidine in normal saline, with maximum volume of 12 ml in both the groups.
All patients were assessed intrao peratively for hemodynamic changes and requirement of sevofl urane concentration and postoperatively for pain by using FLACC pain score and for sedation by using four-point sedation score.
Results The mean duration of analgesia was 18–24 h in group D, whereas in group C it was 12–15 h.
Group C had a higher sedation score up to 2 in immediate postoperative period for 1 h compared with below 1 h in group D.
Conclusion Postoperative analgesia is longer with dexamethasone compared with clonidine without any side e ffects.
American Psychological Association (APA)
Solanki Nilesh M.& Engineer Smita R.& Patel Rahul B.& Vecham Pavan K.. 2016. Enhancement of bupivacaine caudal analgesia by using dexamethasone or clonidine in children undergoing subumbilical surgery. Ain Shams Journal of Anesthesiology،Vol. 9, no. 2, pp.274-279.
https://search.emarefa.net/detail/BIM-688381
Modern Language Association (MLA)
Solanki Nilesh M.…[et al.]. Enhancement of bupivacaine caudal analgesia by using dexamethasone or clonidine in children undergoing subumbilical surgery. Ain Shams Journal of Anesthesiology Vol. 9, no. 2 (Apr. / Jun. 2016), pp.274-279.
https://search.emarefa.net/detail/BIM-688381
American Medical Association (AMA)
Solanki Nilesh M.& Engineer Smita R.& Patel Rahul B.& Vecham Pavan K.. Enhancement of bupivacaine caudal analgesia by using dexamethasone or clonidine in children undergoing subumbilical surgery. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 2, pp.274-279.
https://search.emarefa.net/detail/BIM-688381
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 278-279
Record ID
BIM-688381