Caudal Epidural Anesthesia Reduces Blood Loss During Hypospadias Repair
| Autor: | Joel B. Gunter, Charles B. Manley, John E. Forestner |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Bupivacaine
medicine.medical_specialty Inhalation business.industry Urology medicine.disease Surgery law.invention Anesthesiology and Pain Medicine Blood loss Randomized controlled trial Hypospadias law Anesthesia Hemostasis Anesthetic Operating time Hypospadias repair medicine Caudal epidural Halothane business Prospective cohort study medicine.drug |
| Zdroj: | Journal of Urology. 144:517-519 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/s0022-5347(17)39509-5 |
| Popis: | We studied 24 boys who were randomized to receive caudal epidural anesthesia with 0.33 ml.kg.-1 0.25% bupivacaine either before (group A) or after (group B) Mathieu repair of distal hypospadias. The 2 groups did not differ in regard to age or weight, and all boys received a standardized anesthetic with halothane and nitrous oxide in oxygen. Intraoperative blood loss was measured with sponge weights and microcalibrated suction canisters. Halothane requirements were reduced in group A (0.5 versus 1.1 plus or minus 0.1%, p less than 0.001). Measured blood loss was reduced in group A (16 plus or minus 10 ml. versus 31 plus or minus 17 ml., p less than 0.01). Operating time was reduced in group A (92 plus or minus 13 minutes versus 103 plus or minus 14 minutes, p less than 0.05). There was no apparent difference in postoperative pain relief between the 2 groups. We conclude that caudal epidural anesthesia can reduce blood loss and improve surgical conditions during hypospadias repair. |
| Databáze: | OpenAIRE |
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