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Caudal midazolam does not affect sevoflurane requirements and recovery in pediatric day-case hernioplasty

Authors
 Hong JY  ;  Lee IH  ;  Shin SK  ;  Park EY  ;  Ban SY  ;  Cho JE  ;  Kil HK 
Citation
 Acta Anaesthesiologica Scandinavica, Vol.52(10) : 1411-1414, 2008 
Journal Title
 Acta Anaesthesiologica Scandinavica 
ISSN
 0001-5172 
Issue Date
2008
MeSH
Ambulatory Surgical Procedures ; Amides/administration & dosage ; Anesthesia Recovery Period ; Anesthesia, Caudal/methods* ; Anesthetics, Inhalation/administration & dosage* ; Anesthetics, Intravenous/administration & dosage* ; Anesthetics, Local/administration & dosage ; Child, Preschool ; Double-Blind Method ; Herniorrhaphy* ; Humans ; Male ; Methyl Ethers/administration & dosage* ; Midazolam/administration & dosage* ; Pain Measurement ; Prospective Studies ; Ropivacaine ; Sevoflurane ; Tidal Volume ; Treatment Outcome
Keywords
Ambulatory Surgical Procedures ; Amides/administration & dosage ; Anesthesia Recovery Period ; Anesthesia, Caudal/methods* ; Anesthetics, Inhalation/administration & dosage* ; Anesthetics, Intravenous/administration & dosage* ; Anesthetics, Local/administration & dosage ; Child, Preschool ; Double-Blind Method ; Herniorrhaphy* ; Humans ; Male ; Methyl Ethers/administration & dosage* ; Midazolam/administration & dosage* ; Pain Measurement ; Prospective Studies ; Ropivacaine ; Sevoflurane ; Tidal Volume ; Treatment Outcome
Abstract
BACKGROUND: This prospective, randomized, double-blind study aimed to determine whether caudal midazolam combined with ropivacaine affects anesthetic requirements, recovery profiles, and post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty. METHODS: Sixty boys (2-5 years old) received caudal injections of 0.2% ropivacaine 1 ml/kg and epinephrine 1 : 200,000 with (RM group) or without (R group) 50 microg/kg of midazolam under sevoflurane anesthesia. The sevoflurane requirement was determined by adjusting to a bispectral index score=50. RESULTS: Concentrations of end-tidal sevoflurane (ETsevo%) after induction were similar in both groups. After caudal block, ETsevo% before and after surgical stimuli did not show significant intra- or intergroup differences. Recovery characteristics, including post-operative sedations, were similar in both groups. Post-operative pain scores were significantly lower in the RM group than the R group. CONCLUSIONS: Caudal midazolam (50 microg/kg) added to 2% ropivacaine did not influence sevoflurane requirement or recovery but improved post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2008.01727.x/abstract
DOI
10.1111/j.1399-6576.2008.01727.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kil, Hae Keum(길혜금)
Park, Eun Young(박은영)
Shin, Seokyung(신서경) ORCID logo https://orcid.org/0000-0002-2641-0070
Cho, Jang Eun(조장은)
Hong, Jeong Yeon(홍정연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107748
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