Evidence map›Paper›PMID 40635843›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

Comparison of caudal bupivacaine and dexmedetomidine with caudal bupivacaine and intravenous dexmedetomidine for postoperative analgesia in children: A randomized controlled trial.

Kuldeep Singh, Jeetendra Bajaj, Sapna Bathla, Khushboo Mehta

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Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Kuldeep SinghDepartment of Anaesthesia and Intensive Care, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Jeetendra BajajDepartment of Anaesthesia and Intensive Care, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Sapna BathlaDepartment of Anaesthesia and Intensive Care, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Khushboo MehtaDepartment of Anaesthesia and Intensive Care, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Caudal block is a part of multimodal analgesic regimen to alleviate pain in pediatric patients undergoing variety of surgeries. This study compares the effectiveness of caudal versus intravenous dexmedetomidine as an additive to caudal bupivacaine for prolonging analgesia in children posted for elective lower abdominal surgeries. The level of sedation and hemodynamic effects through both routes were also compared. Material and Methods: Ninety-six children (aged 1-8 years) of either gender scheduled for elective lower abdominal and pelvic surgeries were prospectively enrolled and randomized into two groups of 48 each: Group A (caudal bupivacaine + caudal dexmedetomidine) and Group B (caudal bupivacaine + intravenous dexmedetomidine). The postoperative pain was monitored using the Face, Legs, Activity, Cry, Consolability (FLACC) scale, and sedation was assessed using the Ramsay sedation scale (RSS). Results: The degree of analgesia was comparable in both groups in the initial hours after surgery. Significantly higher FLACC scores were seen in Group B at 8 h ( Conclusion: Caudal dexmedetomidine with bupivacaine provides improved analgesia after 8 h of surgery in comparison to caudal bupivacaine with intravenous dexmedetomidine in children undergoing lower abdominal surgeries.

Indexed as

Addition of dexmedetomidine to caudal bupivacaine is an effective method of prolonging the duration of analgesia in pediatric patients in the postoperative period with favorable hemodynamics and minimal sedation.Analgesiabupivacainecaudaldexmedetomidinepediatric

Identifiers

PMID40635843
PMCPMC12237167

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