A Comparison of Ropivacaine With Bupivacaine for Pediatric Caudal Block [çocuklarda Kaudal Blok Uygulanmasinda Bupivakain I?le Ropivakainin Karşilaştirilmasi]
Küçük Resim Yok
Tarih
2001
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Caudal anaesthesia is a widely used method for lower abdominal, penoscrotal and lower extremity surgery in children. The aim of this study was to evaluate the quality of anaesthesia, the effects on hemodynamic parameters, postoperative pain and side effects of ropivacaine and bupivakaine in caudal anaesthesia. All patients received rectal midazolam 0.4 mg/kg for premedication 30 minutes before surgery. After routine monitorization, patients were randomized into two groups. All patients received 2-2.5 mg/kg bolus propofol intravenously and then propofol infusion was continued through the operation. Immediately after propofol bolus Group I (n=20) received 2 mg/kg 0.25% bupivacaine and Group II (n=20) received 2 mg/kg 0.2% ropivacaine for caudal anaesthesia. Heart rate, arterial blood pressure, SpO2 was measured 5 and 15 minutes after caudal blockade and every 15 minutes until discharged from the operating room. Postoperative pain was assessed according to Modified Pediatric Objective Pain Scale (MPOPS). The level of anaesthesia was satisfactory in both groups. No further analgesia was required. Heart rate, arterial blood pressure, SpO2 and the values of MPOPS were similar in both groups. 45% of Group I and 40% of Group II didn't need postoperative analgesia. As a result, we concluded that ropivacaine (2 mg/kg 0.2%) is as efficacious as bupivacaine (2 mg/kg 0.25%) anaesthesia and postoperative analgesia for caudal anesthesia in children.
Açıklama
Anahtar Kelimeler
Bupivacaine, Caudal anaesthesia, Ropivacaine
Kaynak
Turk Anesteziyoloji ve Reanimasyon
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
29
Sayı
10
Künye
Tuncer, S., Orhan, R., Çelik, J., Reisli, R., Tavlan, A., Ökesli, S., (2001). A Comparison of Ropivacaine With Bupivacaine for Pediatric Caudal Block [çocuklarda Kaudal Blok Uygulanmasinda Bupivakain I?le Ropivakainin Karşilaştirilmasi]. Turk Anesteziyoloji ve Reanimasyon, 29(10), 551-556.
