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Tytuł oryginału: Perioperative pain relief following inguinal herniorrhaphy in children. Caudal versus ilioinguinal and iliohypogarstric nerve blockade.
Autorzy: Nemeth Eva, Thory K., Machay T., Verebely T., Reusz Gy.
Źródło: Surg. Childh. Int. 2002: 10 (2) s.76-80, il., tab., bibliogr. 25 poz.
Sygnatura GBL: 313,040

Hasła klasyfikacyjne GBL:
  • pediatria
  • neurologia
  • anestezjologia
  • chirurgia
  • gastroenterologia

    Typ dokumentu:
  • praca kliniczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • niemowlęta
  • dzieci 2-5 r.ż.
  • dzieci 6-12 r.ż.
  • dzieci 13-18 r.ż.

    Streszczenie angielskie: We evaluated the efficacy of two routinelly used regional anesthetic techniques, caudal epidural blockade (CEB) and ilioinguinal/iliohypogastric nerve blockade (IIB), in pediatric ambulatory surgeery patients. Forty two children undergoing herniorrhaphy were included in a prospective, randomized, observer-binded study. They received either 0.75 ml/kg (maximum 37.5 mg) caudal bupivacaine 2.5 mg/ml with epinephrine 1 : 200000 (CEB group; n = 25; age 42.4 months [13-78]) or 0.5 ml/kg (maximum 37.5 mg) bupivacaine 2.5 mg/ml with epinephrine 1 : 200000 for ilioinguinal/iliohypogastric nerve (NNb group; n = 17; age 42.4 months [12-94l). Postoperative analgesia was complemented by evaluation of the short-term hearrt rate variability (rMSSD : root-nean square of successive differences). The systolic BP at the end of surgery was found to be lower in the CEB group ((92 ń 2.9 mmHg) as compared wityh the IIB group (105 ń 3.0 mm Hg, p 0.005). During the recovery period both the HR and the systolic BP were lower in the CEB group than in the II B group (HR: CEB group 119 ń 3.7 min.**-1 vs. IIB group 136 ń 5.0 min**-1, p 0.05; systolic BP; CEB group 94 ń 4.9 mm HG vs. IIB group 109 ń 3.1 mmHg, p 0.02). During recovery, rMSSD increased to a higher level in the CEB group (30.8 ń 4.8 msec). than in the group (16.0 ń 3.6 msec, p 0.05). Hemodynamic parameters such as the HR and BP and rMSSD all demonstrated a lowerr sympathetic tone during recovery in CEB patients than in IIB patients.

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