ISSN: 2155-6148
Mohamed Ali
Egypt
Research Article
Caudal Neostigmine and Bupivacaine Facilitates Early Extubation and Provides
Prolonged Postoperative Analgesia in Children Undergoing Open Heart Surgery
Author(s): Sayed Kaoud Abd-Elshafy, Esam abdalla, Mohamed Ali and Hesham Mohamed
Sayed Kaoud Abd-Elshafy, Esam abdalla, Mohamed Ali and Hesham Mohamed
Objective: This study was designed to examine the effect of single shot of caudal neostigmine with bupivacaine
on early extubation versus standard intravenous fentanyl regimen without caudal block.
Design: Prospective, randomized double blind controlled clinical trial
Setting of the study: Children University Hospital
Patients: 80 children (4 to 12 years) undergoing correction of congenital heart defects
Methods: Patients were randomized into two equal groups (caudal neostigmine group and non-caudal group); Anesthesia was provided with sevoflurane, midazolam, plus fentanyl 5 mcg/kg and cisatracurium 0.1 mg/kg and maintained with sevoflurane, fentanyl 1 mcg/kg/h. and cisatracurium 0.05 mg/kg. In caudal group; caudal block with bupivacaine (0.125%) in a dose of 1.5 ml/kg plus neostigmine.. View More»
DOI:
10.4172/2155-6148.1000512