1887

oa Southern African Journal of Anaesthesia and Analgesia - The management of postoperative pain in children with caudal blocks : original research

 

Abstract

The aim of this study was to evaluate the pre-emptive analgesic effect and duration of postoperative analgesia after caudal blocks in children.


Forty-five children undergoing distal hypospadias surgery were assigned to group 1 (n = 23), and received caudal 0.25% bupivacaine 0.5 mg/kg and midazolam 0.05 mg/kg before the surgical incision. Group 2 (n = 22) received caudal 0.25% bupivacaine 0.5 mg/kg and midazolam 0.05 mg/kg at the end of surgery. Anaesthesia was induced with propofol and fentanyl and maintained with sevoflurane and nitrous oxide. Postoperative pain was rated on an objective paediatric pain scale.
The analgesic requirement was greater in the second group.
Pre-emptive analgesia with caudal blocks may prevent the intensity and frequency of postoperative wound pain.

Loading

Article metrics loading...

/content/medsajaa/17/6/EJC73906
2011-01-01
2016-12-03
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error