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Journals / Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2014 / Cilt: 54 - Sayı: 1

Efficiency of low dose caudal morphine added bupivacaine in children undergoing circumcision

Sünnet olacak çocuklarda bupivakaine eklenen düşük doz kaudal morfinin etkinliği

Ebru ÇANAKÇI
Ayşegül ŞAHİN ELBİR
Kemal PEKER
Erdal ÖZCAN
Ayça Tuba ÖZCAN DUMANLI
Pages
8–14
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Patients in Group 1 hada statistically significantly higher incidenceof pain than group 2 patients for 24 hours, (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: we compared the postoperatifpain relief and PONV of caudal blockade withbupivacaine or morphine plus bupivacaine.Methods: 100 ASA I 2-12 yr old childrenschedulled for circumcision surgery wererandomized to receive caudal blockade withbupivaine or bupivacaine with morphine.Grup 1 received 0,25% bupivacaine, grup2 received bupivacaine with 10μgr/kgmorphine.
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Key Findings & Data:Number of patients requiringrescue analgesic in 24 h following caudalblokade, time to first rescue analgesic,4.hour pain scores, postoperatif pain andside effects during the first 24 hour wererecorded.Results: Within 24 hours pain have beenidentified at 24 patient in group 1 and 2patients in group 2.
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Conclusion & Impact:Patients in Group 1 hada statistically significantly higher incidenceof pain than group 2 patients for 24 hours, (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: we compared the postoperatifpain relief and PONV of caudal blockade withbupivacaine or morphine plus bupivacaine.Methods: 100 ASA I 2-12 yr old childrenschedulled for circumcision surgery wererandomized to receive caudal blockade withbupivaine or bupivacaine with morphine.Grup 1 received 0,25% bupivacaine, grup2 received bupivacaine with 10μgr/kgmorphine. Number of patients requiringrescue analgesic in 24 h following caudalblokade, time to first rescue analgesic,4.hour pain scores, postoperatif pain andside effects during the first 24 hour wererecorded.Results: Within 24 hours pain have beenidentified at 24 patient in group 1 and 2patients in group 2. Patients in Group 1 hada statistically significantly higher incidenceof pain than group 2 patients for 24 hours, (p

Özet

Amaç: Bupivakain ve morfin eklenenbupivakainle kaudal blok uygulamasının,postoperatif ağrı kontrolü ve bulantı kusmayaetkilerini karşılaştırdık.Yöntemler: ASA I, 2-12 yaşında sünnetoperasyonu planlanan 100 hastayabupivakain veya morfin eklenen bupivakainlerandomize kaudal blokaj yapıldı. Grup1deki olgulara 0,25% bupivakain, grup2ye ise bupivakain + 10μgr/kg morfinverildi. 24 saat boyunca analjezik gerektirenhasta sayısı, ilk analjezik ihtiyaç zamanı,4. saatteki ağrı skorları, 24 saat boyuncaağrı ve komplikasyonlar postoperatif olarakkaydedildi.Bulgular: 24 saatte grup 1de 24 hastadagrup 2de ise 2 hastada ağrı tespit edilmiştir.Grup 2deki olguların, grup 2deki olgularaoranla 24 saatte ağrı görülme oranıistatistiksel olarak anlamlı derecede dahayüksekti (p

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Cite This Article

ÇANAKÇI, E., ELBİR, A. Ş., PEKER, K., ÖZCAN, E., DUMANLI, A. T. Ö. (2022). Efficiency of low dose caudal morphine added bupivacaine in children undergoing circumcision. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 54 - Sayı: 1, 8–14. https://ajindex.com/articles/535351

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References (11)

  1. Beyaz SG, Tokgöz O, Tüfek A. Caudal epidural block in children and infants: retrospective analysis of 2088 cases. Ann Saudi Med. 2011 Sep-Oct;31(5):494-7
  2. Brenner L, Kettner SC, Marhofer P, Latzke D, Willschke H, Kimberger O, Caudal anaesthesia under sedation: A prospective analysis of 512 infants and children. Br J Anaesth 2010;104:7515
  3. Seyedhejazi M, Azerfarin R, Kazemi F, Amiri M. Comparing caudal and penile nerve blockade using bupivacaine in hypospadias repair surgeries in children. Afr J Paediatr Surg. 2011 Sep-Dec;8(3):294-7
  4. Locatelli B, Ingelmo P, Sonzogni V, Zanella A, Gatti V, Spotti A, Di Marco S, Fumagalli R. Randomized, double- blind, phase III, controlled trial comparing levobupivacaine 0.25%, ropivacaine 0.25% and bupivacaine 0.25% by the caudal route in children.Br J Anaesth.2005 Mar;94(3):366-71 5. Akin A, Ocalan S, Esmaoglu A, Boyaci A. The effects of caudal or intravenous clonidine on postoperative analgesia produced by caudallevobupivacaine in children. Paediatr Anaesth. 2010 Apr;20(4):350-5
  5. Silvani P, Camporesi A, Agostino MR, Salvo I.Caudal anesthesia in pediatrics: an update.Minerva Anestesiol. 2006 Jun;72(6):453-9
  6. Taheri R, Shayeghi S, Razavi SS, Sadeghi A, Ghabili K, Ghojazadeh M, Rouzrokh M. Efficacy of bupivacaine- neostigmine and bupivacaine-tramadol in caudal block inpediatric inguinal herniorrhaphy.Paediatr Anaesth. 2010 Sep;20(9):866-72
  7. Kundra P, Deepalakshmi K, Ravishankar M. Preemptive caudal bupivacaine and morphine for postoperative analgesia in children.Anesth Analg. 1998 Jul;87(1):52-6
  8. G. Edward Morgan, Maged S. Mikhail, Michael J. Murray Clinical Anesthesiology Thirt Edition 273-4 10. Şenaylı Y, Özkan F, Şenaylı A, Bıçakçı Ü. Çocuklarda Postoperatif Ağrının FLACC (YBAAT) Ağrı Skalasıyla Değerlendirilmesi. Turkiye Klinikleri J Anest Reanim 2006;4(1):1-4 11. Dalens B, Hasnaoui A.Caudal anesthesia in pediatric surgery: success rate and adverse effects in 750 consecutive patients.Anesth Analg. 1989 Feb;68(2):83-9
  9. Sanders JC.Paediatric regional anaesthesia, a survey of practice in the United Kingdom.Br J Anaesth. 2002 Nov;89(5):707-10
  10. Kayhan Z.,Klinik Anestezi,Logos Yayıncılık,Mayıs 2004.3. baskısayfa 694-5 14. Johnston P, Findlow D, Aldridge LM, Doyle E.The effect of ketamine on 0.25% and 0.125% bupivacaine for caudal epidural blockade in children.Paediatr Anaesth. 1999;9(1):31- 4
  11. Gunter JB, Dunn CM, Bennie JB, Pentecost DL, Bower RJ, Ternberg JL. Optimum concentration of bupiva