Effectiveness of a new regional anesthetic mixture on pain control after pediatric heart surgery: a systematic randomized trial

Cardiometry Pub Date : 2023-03-01 DOI:10.18137/cardiometry.2023.26.872878

R. Varshney, S. Singh, D. K. Harkawat

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Abstract

Background: Large randomized clinical trials to evaluate analgesic treatments in pediatric surgery patients are challenging to undertake. Regional anesthetic improves postoperative pain in adults, but its benefits on pediatric patients are unclear. Objective: This study examined regional anesthesia’s effectiveness in reducing postoperative pain. The research on the impact of regional anaesthetic on postoperative pain in paediatric surgical patients was searched extensively. Methods: 2,408 pediatric patients from 10 trials were examined. The majority of the publications written between 2013 and 2017 claimed that using regional anesthetics decreased the need for opioids and lessened postoperative pain. A small number of surgical operations did not significantly vary from normal anesthetic administration in terms of postoperative pain relief. Result: For numerous surgical operations (craniectomy, ophthalmologic surgery, otologic surgery, and heart surgery) on children, better regional anesthesia techniques are needed to reduce postoperative pain. In terms of pain, the Trial group's statistically decreased mean values were discovered (p

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一种新的区域麻醉混合物对小儿心脏手术后疼痛控制的有效性:一项系统随机试验

背景:评估小儿外科患者镇痛治疗的大型随机临床试验具有挑战性。区域麻醉可改善成人术后疼痛，但其对儿科患者的益处尚不清楚。目的:探讨区域麻醉对减轻术后疼痛的作用。区域麻醉对小儿手术患者术后疼痛的影响进行了广泛的研究。方法:对10项临床试验的2408例患儿进行分析。2013年至2017年期间撰写的大多数出版物声称，使用区域麻醉剂减少了对阿片类药物的需求，减轻了术后疼痛。在术后疼痛缓解方面，少数外科手术与正常麻醉没有显著差异。结果:对于许多儿童外科手术(开颅手术、眼科手术、耳科手术和心脏手术)，需要更好的区域麻醉技术来减少术后疼痛。在疼痛方面，实验组的平均值在统计学上有所下降(p

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来源期刊

Cardiometry MEDICAL LABORATORY TECHNOLOGY-

自引率

0.00%

发文量

审稿时长

6 weeks

期刊介绍： Cardiometry is an open access biannual electronic journal founded in 2012. It refers to medicine, particularly to cardiology, as well as oncocardiology and allied science of biophysics and medical equipment engineering. We publish mainly high quality original articles, reports, case reports, reviews and lectures in the field of the theory of cardiovascular system functioning, principles of cardiometry, its diagnostic methods, cardiovascular system therapy from the aspect of cardiometry, system and particular approaches to maintaining health, engineering peculiarities in cardiometry developing. The interdisciplinary areas of the journal are: hemodynamics, biophysics, biochemistry, metrology. The target audience of our Journal covers healthcare providers including cardiologists and general practitioners, bioengineers, biophysics, medical equipment, especially cardiology diagnostics device, developers, educators, nurses, healthcare decision-makers, people with cardiovascular diseases, cardiology and engineering universities and schools, state and private clinics. Cardiometry is aimed to provide a wide forum for exchange of information and public discussion on above scientific issues for the mentioned experts.