Two different doses of caudal neostigmine co administered with levo bupivacaine produces analgesia in children

dc.authorid9217en_US
dc.contributor.authorKaraaslan, Kazım
dc.contributor.authorGülcü, Nebahat
dc.contributor.authorÖztürk, Hayrettin
dc.contributor.authorSarpkaya, Ali
dc.contributor.authorÇolak, Cemil
dc.contributor.authorKocaoğlu, Hasan
dc.date.accessioned2017-08-21T11:53:10Z
dc.date.available2017-08-21T11:53:10Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: This study was aimed to evaluate the analgesic efficacy, duration of analgesia, and side effects of two different doses of caudal neostigmine used with levobupivacaine in children. Methods: Sixty boys, between 5 months and 5 years, undergoing genito-urinary surgery were allocated randomly to one of three groups (n = 20 each). Group I patients received caudal 0.25% levobupivacaine (1 mlÆkg)1 ) alone. Groups II and III patients received neostigmine (2 and 4 lgÆkg)1 respectively) together with levobupivacaine used in the same dose as Group I. Pain scores were assessed using Children’s and Infant’s Postoperative Pain Scale (CHIPPS) at 15th (t1) min after arrival to postanesthetic care unit, and 1st (t2), 2nd (t3), 3rd (t4), 4th (t5), 8th (t6), 16th (t7), and 24th (t8) hour postoperatively. Duration of analgesia, amount of additional analgesic (paracetamol), score of motor blockade and complications were recorded for 24 h postoperatively, and compared between groups. Results: CHIPPS scores were higher during t2, t3, t6, t7 and t8 periods, duration of analgesia was shorter, and total analgesic consumption was higher in Group I compare to neostigmine groups (P < 0.05). Duration of postoperative analgesia and total analgesic consumption were similar in Groups II and III (P > 0.05). Adverse effects were not different between three groups. Conclusions: Caudal neostigmine in doses of 2 and 4 lgÆkg)1 with levobupivacaine extends the duration of analgesia without increasing the incidence of adverse effects, and 2 lgÆkg)1 seems to be the optimal dose, as higher dose has no further advantages.en_US
dc.identifier.citationKaraaslan, K. Gülcü, N. Öztürk, H. Sarpkaya, A. Çolak, C. Kocaoğlu, H. (2009). Two different doses of caudal neostigmine co administered with levo bupivacaine produces analgesia in children. Pediatric Anesthesia. 19: 487–493.en_US
dc.identifier.doi10.1111/j.1460-9592.2009.02969.xen_US
dc.identifier.endpage493en_US
dc.identifier.startpage487en_US
dc.identifier.urihttps://hdl.handle.net/11616/7653
dc.identifier.volume19en_US
dc.language.isoenen_US
dc.publisherPediatric Anesthesiaen_US
dc.relation.ispartofPediatric Anesthesiaen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLevobupivacaineen_US
dc.subjectNeostigmineen_US
dc.subjectCaudal blocken_US
dc.subjectPostoperative analgesiaen_US
dc.titleTwo different doses of caudal neostigmine co administered with levo bupivacaine produces analgesia in childrenen_US
dc.typeArticleen_US

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