Comparative Study between Different Additives to Levobupivacaine in Caudal Block for Postoperative Pain Management in Pediatrics Undergoing Hypospadias Repair: Randomized Controlled Study
| Autor: | Ahmed Hamody Hassan, Ayman Mohamed Abdelkareem, Islam A. Amer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Bupivacaine
business.industry Sedation Hemodynamics 030208 emergency & critical care medicine Nalbuphine law.invention Fentanyl 03 medical and health sciences 0302 clinical medicine Levobupivacaine Randomized controlled trial 030202 anesthesiology law Anesthesia FLACC scale medicine medicine.symptom business medicine.drug |
| Zdroj: | The Egyptian Journal of Hospital Medicine. 83:1120-1128 |
| ISSN: | 2090-7125 |
| DOI: | 10.21608/ejhm.2021.160884 |
| Popis: | Background: For both children and their caregivers, postoperative pain is an irritating experience. Several approaches have been used to treat postoperative pain in pediatric patients improving sleep quality, and extending sedation time. Objectives: This work aimed to compare the postoperative analgesic effect and any complications of addition of one of these drugs nalbuphine versus fentanyl versus dexamethasone to levobupivacaine in caudal block (CB) in pediatric patients undergoing hypospadias repair. Patient and Methods: 90 ASA status I and II patients aged 2 to 9 years underwent hypospadias repair were prospectively involved in this study. Patients were randomized into three equal groups (Group N, Group F and Group D). Result: There was no statistically significant difference between three groups as regards systolic blood pressure (SBP) except after 60 and 70 minutes after caudal block as there was a significant difference as SBP decreased in the group (N) more than in both groups (F and D). Also there was a significant deference between the three groups in SBP at 1, 1.5, 2 and 4 hours postoperatively. FLACC pain score between three groupsshowed a significant difference between three groups at 2, 6 and 8 hours postoperatively otherwise no significant difference Conclusion: Adding a nalbuphine to levobupivacaine in caudal block had longer duration for postoperative analgesia and showed more sedation time than that of fentanyl and dexamethasone with more stability in hemodynamics. |
| Databáze: | OpenAIRE |
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