Anesthésie locorégionale chez l'enfant

Murat, I.

doi:10.1016/s0750-7658(97)82151-x

Cited by 40 publications

(5 citation statements)

References 11 publications

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“…Neither the number of patients who were free from pain during the early and late postoperative period nor the time for the first analgesic supplementation were statistically different between both groups. In pediatric regional anesthesia, the dose of 1–2 μ g·kg −1 clonidine is recommended as a safe and efficient adjuvant for epidural anesthesia (17). Both doses of clonidine prolonged significantly postoperative analgesia in epidural and caudal blockage for pediatric surgery (9–14).…”

Section: Discussionmentioning

confidence: 99%

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Clonidine administered as adjuvant for bupivacaine in ilioinguinal–iliohypogastric nerve block does not prolong postoperative analgesia

Kaabachi

Zerelli

Methamem

et al. 2005

Pediatric Anesthesia

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Background: Coadministration of clonidine with local anesthetics is associated with improvement of the quality of peripheral nerve block and significant prolongation of postoperative analgesia. Better analgesia has been reported with clonidine in ilioinguinal nerve block compared with caudal use. The object of this study was to determine whether adding of 1 lgAEkg )1 clonidine to bupivacaine 0.25% in ilioinguinal-iliohypogastric nerve block prolongs postoperative analgesia in children. Methods: Ninety-eight children ASA I-II aged between 1 and 12 years, scheduled for elective outpatient herniorrhaphy or orchidopexy were randomly allocated to receive an ilioinguinal-iliohypogastric nerve block either with 0.3 mlAEkg )1 bupivacaine 0.25% plus 1 lgAEkg )1 clonidine or only bupivacaine. Postoperative analgesic needs, time to the first analgesic supplementation and sedation score were assessed in hospital for 6 h postoperatively and at home by telephone call. Results: Demographic data were similar in both groups. There was no statistical difference in the rate of rescue analgesia between the two groups during the first six postoperative hours (20.4% group clonidine vs 30.6% group no clonidine) (P ¼ 0.17). A slight decrease in systolic blood pressure during surgery was reported in the clonidine group. There was no difference in the scores of sedation between the two groups. At home, 10 patients in the clonidine group and nine patients in the nonclonidine group received analgesic medication. There was no difference between the two groups regarding the number of patients receiving analgesic rescue during the first 24 h (log rank ¼ 0.39). Parental satisfaction was high in both groups. Conclusions: Our study failed to demonstrate any advantage in addition of 1 lgAEkg )1 clonidine to 0.25% bupivacaine for ilioinguinaliliohypogastric nerve block compared with bupivacaine 0.25% alone.

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Section: Discussionmentioning

confidence: 99%

“…We reported a slight decrease in systolic blood pressure during surgery in clonidine group. Minimal hemodynamic repercussion from the use of clonidine in caudal block is reported (9,11), but, safety of clonidine at small doses (1–2 μ g·kg −1 ) is generally accepted (17). Several hypotheses may explain our negative results.…”

Section: Discussionmentioning

confidence: 99%

Clonidine administered as adjuvant for bupivacaine in ilioinguinal–iliohypogastric nerve block does not prolong postoperative analgesia

Kaabachi

Zerelli

Methamem

et al. 2005

Pediatric Anesthesia

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“…One patient in the lateral group who had bilateral herniae was given halothane 0.5% in addition to the nitrous oxide in oxygen because of prolonged surgery. The median [range] number of attempts at lumbar puncture was 1 [1][2][3] in the lateral group and 1 [1][2][3] [11][12][13][14][15][16][17][18][19][20][21][22][23] min for unilateral herniae and 38 [30-42] min for bilateral herniae. There were no statistically significant differences in haemodynamic data between the groups before or after spinal block ( Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Local anaesthetic doses should be correlated with body weight in children [13,[21][22][23]. Doses of bupivacaine in the range 0.78-0.87 mg.kg )1 should be used in infants < 6 months old [13].…”

Section: Discussionmentioning

confidence: 99%

“…The dose of bupivacaine was chosen according to the recommendations of Beauvoir et al [21] and Peutrel & Hughes [22]. More recently, Murat [23] has recommended doses of 3 mg in patients < 2 kg, and 4 mg for patients weighing 2-5 kg. Using these doses, the maximum sensory level of anaesthesia is approximately T 4 , and there appear to be minimal effects on measured transcutaneous carbon dioxide levels or oxygen saturation [27], although higher sensory levels may be associated with adverse respiratory effects [15].…”

Section: Discussionmentioning

confidence: 99%

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Spinal anaesthesia for inguinal herniotomy in preterm infants sedated with nitrous oxide: a comparison of lumbar puncture in the lateral or sitting position

Vilà

Lloret²,

Munar

et al. 2002

Anaesthesia

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SummaryThis study compares spinal anaesthesia for inguinal herniotomy in preterm infants in the lateral or sitting position. Thirty patients were randomly divided into two equal groups. One hour before spinal anaesthesia, a eutetic mixture of local anaesthetic cream was applied to the lower lumbar spine. Sedation with nitrous oxide 50% in oxygen was given to all patients before and during induction of spinal anaesthesia, and throughout surgery. Lumbar punctures were performed at the L 4)5 interspace using a 2.5 cm 22 G needle. Isobaric bupivacaine 0.5% with epinephrine 1 : 200 000 at a bupivacaine dose of 1 mg.kg )1 was injected in the lateral or sitting position. Measurements included heart rate, blood pressure, oxygen saturation, maximum sensory block height and duration of motor block and analgesia. There were no statistically significant differences between the groups in any measured parameters. Median Our results indicate that in preterm infants sedated with nitrous oxide, spinal anaesthesia for inguinal herniotomy performed with isobaric bupivacaine 0.5% at a dose 1.0 mg.kg )1 in the lateral or sitting position is equally effective and is associated with minimal side effects.

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Anesthésie locorégionale du membre supérieur

Terrier-Helluy¹

2009

Orthopédie Pédiatrique

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Anesthésie locorégionale chez l'enfant

Cited by 40 publications

References 11 publications

Clonidine administered as adjuvant for bupivacaine in ilioinguinal–iliohypogastric nerve block does not prolong postoperative analgesia

Clonidine administered as adjuvant for bupivacaine in ilioinguinal–iliohypogastric nerve block does not prolong postoperative analgesia

Spinal anaesthesia for inguinal herniotomy in preterm infants sedated with nitrous oxide: a comparison of lumbar puncture in the lateral or sitting position

Anesthésie locorégionale du membre supérieur

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