Preemptive Analgesia for Pediatric Peritoneoscopy, Comparing Caudal Block and Acetaminophen
| Autor: | Eric Koehn, Cynthia Corpron, Thurman Hunt, Agnes Hagan, Francis Gerbasi, Steve Golladay, Thomas Dell, Rao Gutta, Karen Selley, Sue Hutter |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Bupivacaine
medicine.medical_specialty biology business.industry Narcotic medicine.medical_treatment digestive oral and skin physiology Pain scale biology.organism_classification Acetaminophen Surgery Pacu Anesthesia Pediatric pain Pediatrics Perinatology and Child Health Peritoneoscopy Medicine Population study business medicine.drug |
| Zdroj: | Pediatric Endosurgery & Innovative Techniques. 6:7-13 |
| ISSN: | 1092-6410 |
| Popis: | Background and Purpose: Although caudal block and acetaminophen have shown efficacy in postoperative pediatric pain management, they have not been compared in efficacy following peritoneoscopy. Patients and Methods: The study population were ASA I or II children from 55 weeks postconceptual age to 10 years of age having peritoneoscopy. They were randomly assigned to preoperative caudal block using bupivacaine 0.6 mL/kg or preoperative rectal acetaminophen 30 mg/kg, with each group receiving acetaminophen 20 mg/kg per 6 hours for four doses. A blinded observer using the Objective Pain Scale assessed the children on awakening, in the PACU, and at discharge. A phone survey of satisfaction occurred on day 1. Acetaminophen was used in 18 patients, and 14 had a caudal block. Results: The initial PACU score was 4.1 ± 3.1 for acetaminophen and 2.3 ± 3.0 for caudal block (P = 0.03). Fifty-six percent of the acetaminophen group needed added narcotic, whereas only 22% of those with caudal block did (P = 0.02). Forty... |
| Databáze: | OpenAIRE |
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