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Spread of ropivacaine by a weight-based formula in a pediatric caudal block: a fluoroscopic examination
DC Field | Value | Language |
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dc.contributor.author | 구본녀 | - |
dc.contributor.author | 길혜금 | - |
dc.contributor.author | 홍정연 | - |
dc.date.accessioned | 2015-04-23T16:34:38Z | - |
dc.date.available | 2015-04-23T16:34:38Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0001-5172 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/100836 | - |
dc.description.abstract | BACKGROUND: Caudal block is the most common regional technique to provide post-operative analgesia in pediatric infra-umbilical surgery. This study was designed to define how many spinal segments would be covered by the weight-based dosage of caudally administered 0.2% ropivacaine in children using the fluoroscopic method. METHODS: After an approval from the institutional human research review board, in 83 ASA I boys undergoing day-case urological surgery, the distribution of ropivacaine mixed with a radioactive dye in relation to the volume injected caudally was studied. Three groups were studied: for perineal surgery 0.5 ml/kg (group C(0.5)), for inguinal hernia repair 1 ml/kg (group C(1.0)), and for orchiopexy 1.25 ml/kg (group C(1.25)). The dose of 0.2% ropivacaine containing radiopaque dye at a ratio of 1 : 4 was injected at a rate of 1 ml 3 s(-1). Fluoroscopic examination was performed immediately to define the level of the drug spread within the extradural space. RESULTS: The highest spinal levels [median with ranges] of spread were L2 [L4-T12] in group C(0.5), T12 [L1-T8] in group C(1.0), and T10 [L2-T7] in group C(1.25). Analysis by age distribution (infants: <12 months; toddlers: 12-36 months; and children: >36 months) revealed a larger spread in younger patients. CONCLUSIONS: Based on the fluoroscopic findings, the weight-based doses for caudally administered 0.2% bupivacaine suggested by Armitage are also useful for ropivacaine to block the spinal level required for the different types of surgeries studied | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 562~565 | - |
dc.relation.isPartOf | ACTA ANAESTHESIOLOGICA SCANDINAVICA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Amides/administration & dosage | - |
dc.subject.MESH | Amides/pharmacokinetics* | - |
dc.subject.MESH | Anesthesia, Caudal/methods* | - |
dc.subject.MESH | Anesthetics, Local/administration & dosage | - |
dc.subject.MESH | Anesthetics, Local/pharmacokinetics* | - |
dc.subject.MESH | Body Weight | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Contrast Media/administration & dosage | - |
dc.subject.MESH | Contrast Media/pharmacokinetics | - |
dc.subject.MESH | Dose-Response Relationship, Drug | - |
dc.subject.MESH | Drug Compounding | - |
dc.subject.MESH | Fluoroscopy | - |
dc.subject.MESH | Hernia, Inguinal/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Lumbosacral Region/diagnostic imaging | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Nerve Block/methods | - |
dc.subject.MESH | Orchiopexy | - |
dc.subject.MESH | Spinal Cord/diagnostic imaging* | - |
dc.subject.MESH | Spinal Cord/metabolism | - |
dc.title | Spread of ropivacaine by a weight-based formula in a pediatric caudal block: a fluoroscopic examination | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | B.-N. KOO | - |
dc.contributor.googleauthor | J.-Y. HONG | - |
dc.contributor.googleauthor | H. K. KIL | - |
dc.identifier.doi | 10.1111/j.1399-6576.2010.02224.x | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00193 | - |
dc.contributor.localId | A00283 | - |
dc.contributor.localId | A04430 | - |
dc.relation.journalcode | J00006 | - |
dc.identifier.eissn | 1399-6576 | - |
dc.identifier.pmid | 20236099 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2010.02224.x/abstract | - |
dc.contributor.alternativeName | Ku, Bon Nyo | - |
dc.contributor.alternativeName | Kil, Hae Keum | - |
dc.contributor.alternativeName | Hong, Jeong Yeon | - |
dc.contributor.affiliatedAuthor | Ku, Bon Nyo | - |
dc.contributor.affiliatedAuthor | Kil, Hae Keum | - |
dc.contributor.affiliatedAuthor | Hong, Jeong Yeon | - |
dc.citation.volume | 54 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 562 | - |
dc.citation.endPage | 565 | - |
dc.identifier.bibliographicCitation | ACTA ANAESTHESIOLOGICA SCANDINAVICA, Vol.54(5) : 562-565, 2010 | - |
dc.identifier.rimsid | 55251 | - |
dc.type.rims | ART | - |
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