Objective: The aim of this study was to compare the efficacy of three different volumes of 0.25% levobupivacaine caudally administered on the effect of intra- and post-operative analgesia in children undergoing orchidopexy and inguinal hernia repair. Subjects and Methods: Forty children, aged 1 to 7 years, American Society of Anesthesiologists (ASA) physical status I and II, were randomized into 3 different groups according to the applied volumes of 0.25% levobupivacaine: group 1 (n=13): 0.6 ml.kg-1; group 2 (n=10): 0.8 ml.kg-1 and group 3 (n=17): 1.0 ml.kg-1. The age, weight, duration of anesthesia, onset time of intraoperative analgesic, dosage and addition of intraoperative fentanyl were compared among the groups. The time to first use of the analgesic as well as a number of patients who required analgesic 24 hours after surgery in the time intervals: within 6 hours, between 6-12 and between 12-24 hours postoperatively, were evaluated among the groups. Statistical analyses were performed with Dunett t-test, ANOVA or Kruskal Wallis test and Χ2 test. Logistic regression analysis was used in order to examine predictive factors on duration of postoperative analgesia. Results: The age, weight, duration of anesthesia, onset time of intraoperative analgesic, dosage and addition of intraoperative fentanyl was similar among the groups. The time to first analgesic use was similar among the groups and logistic regression model showed that the using the three different volumes of levobupivacaine had no predictive influence on duration of postoperative analgesia. The number of patients who required analgesic within 6 (3/2/3), between 6-12 (3/1/3) and between 12-24 hours (1/0/2) after surgery was similar among the groups. Conclusion: The three different volumes of 0.25% levobupivacaine provided the same quality of intra- and post-operative pain relief in pediatric patients undergoing orchidopexy and inguinal hernia repair.
from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2ptjKyy
via IFTTT
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Objectives To optimise medical students’ early clerkship is a complex task since it is conducted in a context primarily organised to take ca...
-
Abstract Purpose Overcoming the flaws of current data management conditions in head and neck oncology could enable integrated informatio...
-
1 abqls-210rm.html Read the latest Journal of Clinical Neurophysiology - Vol. 37, No. 1, January 2020.eml 2 agx3v-nxz96.html Read the late...
-
Cone-beam CT (CBCT) is a widely used intra-operative imaging modality in image-guided radiotherapy and surgery. A short scan followed by a f...
-
by Yanwei Li, Haifeng Liu, Wei Zeng, Jing Wei An increase in the osmolarity of tears induced by excessive evaporation of the aqueous tear p...
-
Targeted sequencing-based analyses of candidate gene variants in ulcerative colitis-associated colorectal neoplasia British Journal of Canc...
-
http://ift.tt/2p41efZ
-
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου