Ultrasound guided pediatric caudal dose: a two-center randomized controlled trial.

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY
Kartik Syal, Ankita Chandel, Manjit Singh Kanwar
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引用次数: 0

Abstract

Background: The drug volume to be used in caudal in pediatric patients has remained an unmet issue since long. We determined the minimum drug volume required to reach T10 level in pediatric patients using ultrasonography and compared it with the already established volume by Armitage formula.

Aim: To determine the minimum effective caudal local anesthetic dose using ultrasound guidance.

Methods: Study was performed at two centres and at each centre, 50 pediatric patients (Total 100 patients), aged 1 to 3 years, undergoing below umbilical surgeries were included and randomised into two groups of 25 each (Total 50) to receive ultrasound guided drug volume vs. Armitage formula based volume. The volume required to reach T10 level was assessed with ultrasound in one group. Also, maximum height achieved, cutaneous level achieved after 15 min, FLACC scores 30 min post extubation and parental satisfaction scores were noted.

Results: The mean drug volume required to reach T10 level in Group U was 0.755 ± 0.053 ml/kg with a P value < 0.001. (Compared to the drug volume of 1 ml/kg using one sample t test). The highest level achieved in both groups were calculated as the mode value of T8 and T7 in Group U and Group A respectively. The highest cutaneous level achieved after 15 min was also calculated as the mode value of T4 in both groups. FLACC scores at 30 min were also comparable. Satisfaction scores were comparable in both groups.

Conclusion: A volume of 0.7 ml/kg of local anaesthetic in pediatric caudal block is sufficient to achieve a target of T10 level for infraumblical surgeries.

超声波引导下的小儿尾骨剂量:双中心随机对照试验。
背景:长期以来,儿科患者的尾部用药量一直是一个未解决的问题。我们使用超声波确定了小儿患者达到 T10 水平所需的最小药量,并将其与 Armitage 公式中已确定的药量进行了比较:研究在两个中心进行,每个中心纳入 50 名接受脐下手术的 1 至 3 岁儿童患者(共 100 名患者),并随机分为两组,每组 25 人(共 50 人),接受超声引导下的用药量与根据阿米蒂奇公式计算的用药量。其中一组用超声波评估达到 T10 水平所需的药量。此外,还记录了达到的最大高度、15 分钟后达到的皮肤水平、拔管后 30 分钟的 FLACC 评分以及家长满意度评分:结果:U 组达到 T10 水平所需的平均药量为 0.755 ± 0.053 毫升/千克,P 值为 0.7 ± 0.053 毫升/千克,P 值为 0.7 ± 0.053 毫升/千克:小儿尾椎阻滞的局麻药用量为 0.7 毫升/千克,足以使脐下手术达到 T10 水平的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Anesthesiology
BMC Anesthesiology ANESTHESIOLOGY-
CiteScore
3.50
自引率
4.50%
发文量
349
审稿时长
>12 weeks
期刊介绍: BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.
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