ISSN: 2155-6148
Mary Bernard
Ethiopia
Research Article
Effectiveness of Caudal Epidural Block using Bupivacaine with
Neostgmine for Pediatric Lower Extremity Orthopedic Surgery in Cure
Ethiopia Children’s Hospital
Author(s): Getu Ataro and Mary BernardGetu Ataro and Mary Bernard
Background: This study was conducted to assess analgesia and side effects of neostgmine administered with caudal bupivacaine for pediatric lower extremity orthopedic surgeries in routine clinical practice. Methods: In this blinded effectiveness trial, we studied 86 children aged 1-12 years undergoing lower extremity orthopedic surgeries. After induction of general anesthesia, 43 children in Group-B received 1 ml/kg of 0.25% bupivacaine and the other 43 in Group-BN received 1 ml/kg of 0.25% bupivacaine with 2.5 mic/kg neostgmine caudally. Demographic data, hemodynamic data before and after caudal, ASA status, duration of general anesthesia, duration of surgery, episode of post-operative nausea and vomiting (PONV), frequency of rescue analgesics per 24 hour, pain score and sedation score were recorded. Analgesic duration was defined as time from caudal injection to first rescue analgesi.. View More»
DOI:
10.4172/2155-6148.1000479