scholarly journals Postoperative analgesia with intravenous fentanyl PCA vs epidural block after thoracoscopic pectus excavatum repair in children

2007 ◽  
Vol 98 (5) ◽  
pp. 677-681 ◽  
Author(s):  
D. Butkovic ◽  
S. Kralik ◽  
M. Matolic ◽  
M. Kralik ◽  
S. Toljan ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Pectus Excavatum ◽  
Epidural Block ◽  
Intravenous Fentanyl

scholarly journals Comparison between erector spinal plane block and epidural block techniques for postoperative analgesia in open cholecystectomies: a randomized clinical trial

2020 ◽  
Vol 70 (1) ◽  
pp. 22-27
Author(s):  
Thiago Mamoru Sakae ◽  
Luiz Henrique Ide Yamauchi ◽  
Augusto Key Karazawa Takaschima ◽  
Julio C. Brandão ◽  
Roberto Henrique Benedetti
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Postoperative Analgesia ◽  
Epidural Block

scholarly journals Comparison between caudal epidural block and popliteal nerve block for postoperative analgesia in children undergoing foot surgery: a randomized controlled trial

2020 ◽  
Vol 8 (2) ◽  
pp. 560
Author(s):  
Tailang Bumer ◽  
Lokesh Kashyap ◽  
M. K. Arora ◽  
R. K. Batra ◽  
Ganga Prasad ◽  
...  
Keyword(s):  
Nerve Block ◽  
Postoperative Analgesia ◽  
Controlled Trial ◽  
Demographic Data ◽  
Epidural Block ◽  
Block Group ◽  
Foot Surgery ◽  
Significant Difference ◽  
Caudal Epidural Block ◽  
Caudal Epidural

Background: Pain following surgery in children cause discomfort, restlessness and agitation in the postoperative period which may result in an increased incidence of nausea, vomiting and maladaptive behavioural changes. Regional anaesthesia is commonly used as an adjunct to general anaesthesia for perioperative analgesia in children as part of a multimodal approach of pain relief. This study is to compare between caudal epidural block and popliteal nerve block for postoperative analgesia in children undergoing foot surgery.Methods: A prospective randomized single blind study was carried out on 30 children aged 1-12 years of either sex undergoing foot surgery. Patients were randomly assigned into caudal epidural block group and Popliteal nerve block group, 15 children each. Both groups receive 1 ml/kg of 0.25% bupivacaine. Foot surgery was carried out under general anesthesia along with regional block for all children. After completion of surgery, children were shifted to PACU and HR, BP, SPO2 were monitored. Patient was discharged from PACU after CHEOPS (1-5 years) or VAS (6-12 years) <4. Parental satisfaction, sedation score, PONV, and any other side effects were recorded.Results: Demographic data and baseline vital signs were comparable between two groups. Statistically significant difference (p=0.025) in number of attempts in giving block in group A (1.20±0.41) than group B (1.80±0.86). The mean postoperative pain scores, CHEOPS and VAS were comparable in both groups.Conclusions: Both caudal epidural block and popliteal nerve block provides comparable and adequate analgesia in children undergoing elective foot surgery.

scholarly journals Clonidine as an Additive to Local Anesthetics in Caudal Block for Postoperative Analgesia in Pediatric Surgery: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Ye Wang ◽  
Qianqian Guo ◽  
Qi An ◽  
Lin Zhao ◽  
Meng Wu ◽  
...  
Keyword(s):  
Pain Score ◽  
Postoperative Analgesia ◽  
Pediatric Surgery ◽  
Meta Analysis ◽  
Epidural Block ◽  
Cochrane Library ◽  
Random Effects Models ◽  
Control Drug ◽  
Caudal Epidural Block ◽  
Caudal Epidural

Background: Clonidine is an anesthetic with favorable efficacy and safety profiles for caudal epidural block, but comparisons with other adjuvants need to be confirmed in pediatric patients.Aim: To investigate the effects of clonidine as an adjuvant in caudal epidural block to improve the intraoperative and postoperative analgesia in pediatric surgery.Methods: PubMed, Embase, and the Cochrane Library were searched for available papers published up to February 2021. The outcomes were pain score, duration of analgesia, complications, and number of analgesic requirements. The meta-analysis was performed using random-effects models.Results: Fifteen randomized controlled trials (RCTs) were included. There were no differences between clonidine and the control drug regarding the duration of analgesia (SMD = −0.71, 95%CI: −1.64, 0.23; I2 = 95.5%, Pheterogeneity &lt; 0.001), pain score (SMD = 0.35, 95%CI: −0.28, 0.98; I2 = 80.8%, Pheterogeneity &lt; 0.001), and requirement for additional analgesia (OR = 8.77, 95%CI: 0.70, 110.58, I2 = 81.9%, Pheterogeneity = 0.004), but using clonidine resulted in fewer complications than the control drugs (OR = 0.33, 95%CI: 0.20, 0.54, I2 = 21.8%, Pheterogeneity = 0.217). The sensitivity analysis showed that the results were robust. A publication bias was observed.Conclusion: Clonidine has the same efficacy as the other adjuvants for caudal epidural block for pediatric surgery but fewer complications. These results support clonidine as an adjuvant to local anesthetic, but additional studies should be conducted.

scholarly journals Effect of Bilateral Ultrasound-Guided Quadratus Lumborum Block versus Lumbar Epidural Block on Postoperative Analgesia following Major Lower Abdominal Cancer Surgery

2021 ◽  
Vol 11 (12) ◽  
pp. 335-346
Author(s):  
Moaaz Mohamed Tohamy ◽  
Samy Abdelrahman Amr ◽  
Ashraf Amin Mohammed ◽  
Ahmad Mohamad Abd El-Rahman ◽  
Basma Rezk Farouk ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Epidural Block ◽  
Cancer Surgery ◽  
Ultrasound Guided ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum
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