在小儿下腹部手术中使用右美托咪定辅助镇痛的腹腔阻滞发生率和持续时间。

Q3 Medicine
Bidur Kumar Baral, Puspa Raj Poudel, Sadichhya Shah Malla
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引用次数: 0

摘要

背景:尾椎阻滞是儿童术后疼痛治疗的常用方法。然而,单次尾椎阻滞的镇痛时间较短,可通过添加阿片类药物、氯尼地定、右美托咪定等辅助药物和局部麻醉剂来延长镇痛时间。最近,右美托咪定被用作延长镇痛时间的辅助药物。本研究旨在了解接受下腹部手术的儿童中尾椎阻滞的发生率以及右美托咪定辅助镇痛的持续时间:方法: 对尼泊尔三级儿童医院六个月内收治的儿童进行了一项横断面观察研究。研究对象为在全身麻醉下接受下腹部手术的 2 至 7 岁儿童。我们观察了尾部阻滞的发生率以及尾部右美托咪定与罗哌卡因的镇痛持续时间 结果:在整个研究期间,共有 449 名儿童接受了下腹部手术。其中 226 名儿童(50.03%)接受了尾部阻滞。其中,51 名患儿(22.56%)接受了罗哌卡因与右美托咪定联合治疗,45 名患儿(19.91%)接受了罗哌卡因单独治疗,43 名患儿(19.02%)接受了布比卡因单独治疗,46 名患儿(20.35%)接受了布比卡因与芬太尼联合治疗,41 名患儿(18.14%)接受了布比卡因与右美托咪定联合治疗。右美托咪定与罗哌卡因的术后镇痛时间为840.35±14.97分钟:尾部阻滞的发生率为50.03%,右美托咪定联合罗哌卡因可提供更长的术后镇痛时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Caudal Block and Duration of Analgesia of Caudal Dexmedetomidine Adjunct in Pediatric Lower Abdominal Surgery.

Background: Caudal block is a commonly used method of postoperative pain management in children. However, single shot caudal block has shorter duration of analgesia that can be extended by addition of adjuncts like opioids, clonididine, and dexmedetomidine along with local anesthetics. Recently, dexmedetomidine has been used as an adjunct for prolonging the duration of analgesia. This study aimed to find out prevalence of the caudal block and the duration of analgesia with dexmedetomidine adjunct among children undergoing lower abdominal surgeries.

Methods: A cross-sectional, observational study was conducted among the children admitted to the tertiary care children hospital of Nepal during the period of six months. Children of age 2 to 7 years, who had undergone lower abdominal surgeries under general anesthesia were enrolled in the study. We observed the prevalence of the caudal block and duration of analgesia of caudal dexmedetomidine with ropivacaine Results: Throughout the study period, 449 children were posted for lower abdominal surgeries. Out of which 226 children (50.03%) received caudal block. Among the caudal block, 51 children (22.56%)) were administered ropivacaine with dexmedetomidine, 45 children (19.91%) received ropivacaine alone, 43 children (19.02%) were given bupivacaine alone, 46 children (20.35%) received a combination of bupivacaine and fentanyl, and 41 children (18.14%) received bupivacaine and dexmedetomidine. Dexmedetomidine with ropivacaine provides 840.35±14.97 minutes of postoperative pain relief.

Conclusions: The prevalence of the caudal block was 50.03%, and the combination of Dexmedetomidine with ropivacaine provides longer duration of postoperative analgesia.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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