Caudal ropivacaine and bupivacaine for postoperative analgesia in infants undergoing lower abdominal surgery

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dc.authoridCinar, Ayse Surhan/0000-0003-2247-9764;
dc.authorwosidCinar, Ayse Surhan/AAC-4120-2019
dc.authorwosidcinar, surhan/AAB-8775-2019
dc.contributor.authorCinar, Surhan Ozer
dc.contributor.authorIsil, Canan Tulay
dc.contributor.authorSahin, Sevtap Hekimoglu
dc.contributor.authorPaksoy, Inci
dc.date.accessioned2024-06-12T10:55:26Z
dc.date.available2024-06-12T10:55:26Z
dc.date.issued2015
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: To compare the postoperative analgesic efficacy of ropivacaine 0.175% and bupivacaine 0.175% injected caudally into infants for lower abdominal surgery. Methods: Eighty infants, aged 3-12 months, ASA I-II scheduled to undergo lower abdominal surgery were randomly allocated to one of the two groups: Group R received 1ml.kg(-1) 0.175% ropivacaine and Group B received 1ml.kg(-1) 0.175% bupivacaine via caudal route. Postoperative analgesia, sedation and motor block were evaluated with modified objective pain scale, three-point scale and modified Bromage scale respectively. Postoperative measurements including mean arterial pressure (MAP), heart rate (FIR), pain (OPS), sedation and motor block score were recorded for four hours in the postoperative recovery room. Parents were contacted by telephone after 24 hours to question duration of analgesia and side effects. Results: No significant differences were found among the groups in demographic data, MAP, FIR, OPS and sedation scores during four hours postoperatively. The duration of analgesia was 527.5 +/- 150.62 minutes in Group R, 692.77 +/- 139.01 minutes in Group B (p=0.004). Twelve (30%) patients in Group R, 16 (40%) patients in groupB needed rescue analgesics (p=0.348). Rescue analgesics were administered (1 time/2 times) (9/3) (22.5/7.5%) in Group R and 16/0 (40/0%) in Group B, where no statistically significant difference was determined between the groups (p=0.071). Motor blockade was observed in 7 (17.5%) patients in Group R, and 8 (20%) patients in Group B (p=0.774). Conclusion: This study indicated, that a concentration of 0.175% ropivacaine and 0.175% bupivacaine administered to the infants via caudal route both provided effective and similar postoperative pain relief in infants, who underwent lower abdominal surgery.en_US
dc.identifier.doi10.12669/pjms.314.5432
dc.identifier.endpage908en_US
dc.identifier.issn1682-024X
dc.identifier.issue4en_US
dc.identifier.pmid26430427en_US
dc.identifier.scopus2-s2.0-84937890054en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage903en_US
dc.identifier.urihttps://doi.org/10.12669/pjms.314.5432
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19409
dc.identifier.volume31en_US
dc.identifier.wosWOS:000362237900032en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherProfessional Medical Publicationsen_US
dc.relation.ispartofPakistan Journal Of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBupivacaineen_US
dc.subjectCaudal Analgesiaen_US
dc.subjectPediatric Anesthesiaen_US
dc.subjectRopivacaineen_US
dc.subjectPediatric-Patientsen_US
dc.subjectControlled-Trialen_US
dc.subjectAnesthesiaen_US
dc.subjectChildrenen_US
dc.subjectLevobupivacaineen_US
dc.subject0.2-Percenten_US
dc.subjectEfficacyen_US
dc.subjectBlockadeen_US
dc.titleCaudal ropivacaine and bupivacaine for postoperative analgesia in infants undergoing lower abdominal surgeryen_US
dc.typeArticleen_US

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