Cited 10 times in
Ketorolac or fentanyl continuous infusion for post-operative analgesia in children undergoing ureteroneocystostomy
DC Field | Value | Language |
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dc.contributor.author | 길혜금 | - |
dc.contributor.author | 조윤이 | - |
dc.contributor.author | 홍정연 | - |
dc.date.accessioned | 2014-12-20T16:25:37Z | - |
dc.date.available | 2014-12-20T16:25:37Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0001-5172 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/92694 | - |
dc.description.abstract | BACKGROUND: children undergoing ureteroneocystostomy suffer from post-operative pain due to the surgical incision and bladder spasm. A single-shot caudal block is a common technique for paediatric analgesia, but a disadvantage is the limitation of a short duration in spite of the additives co-administered. A few clinical trials have shown that ketorolac provides an effective post-operative analgesia and reduces the bladder spasms after ureteral implantation in children. We compared the efficacy of a continuous infusion of ketorolac and fentanyl in post-operative analgesia and bladder spasm in children who underwent ureteroneocystostomy. METHODS: fifty-two children were allocated to the ketorolac group (Group K, n=26) and fentanyl group (Group F, n=26). After general anaesthesia, a caudal block was performed with 1.5 ml/kg of 0.15% ropivacaine. At the beginning of surgery, an infusion was started after the bolus injection of ketorolac 0.5 mg/kg or fentanyl 1 microg/kg. An infusion device was programmed to deliver ketorolac 83.3 microg/kg/h or fentanyl 0.17 microg/kg/h for 48 h. RESULTS: two of Group F and three of Group K were excluded from the study. Post-operative pain scores were similar between the two groups. One of Group K (4%) and seven of Group F (30.4%) experienced bladder spasms. The rescue analgesic requirements were significantly less in Group K. CONCLUSIONS: a Continuous infusion of ketorolac provided effective analgesia after operation in children who underwent ureteroneocystostomy as well as a low dosage of fentanyl. Ketorolac was more effective in reducing the frequency of bladder spasms and rescue analgesic requirements. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 54~59 | - |
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 | Analgesics, Opioid/administration & dosage | - |
dc.subject.MESH | Analgesics, Opioid/therapeutic use* | - |
dc.subject.MESH | Anti-Inflammatory Agents, Non-Steroidal/administration & dosage | - |
dc.subject.MESH | Anti-Inflammatory Agents, Non-Steroidal/therapeutic use* | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Cystostomy* | - |
dc.subject.MESH | Double-Blind Method | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fentanyl/administration & dosage | - |
dc.subject.MESH | Fentanyl/therapeutic use* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Infusions, Intravenous | - |
dc.subject.MESH | Ketorolac/administration & dosage | - |
dc.subject.MESH | Ketorolac/therapeutic use* | - |
dc.subject.MESH | Kidney Function Tests | - |
dc.subject.MESH | Liver Function Tests | - |
dc.subject.MESH | Pain Measurement/drug effects | - |
dc.subject.MESH | Pain,Postoperative/drug therapy* | - |
dc.subject.MESH | PostoperativeNausea and Vomiting/epidemiology | - |
dc.subject.MESH | Spasm/prevention & control | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Ureter/surgery | - |
dc.subject.MESH | Urinary Bladder Diseases/prevention & control | - |
dc.subject.MESH | Vesico-Ureteral Reflux/etiology | - |
dc.title | Ketorolac or fentanyl continuous infusion for post-operative analgesia in children undergoing ureteroneocystostomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Y. Y. JO | - |
dc.contributor.googleauthor | J. Y. HONG | - |
dc.contributor.googleauthor | E. K. CHOI | - |
dc.contributor.googleauthor | H. K. KIL | - |
dc.identifier.doi | 10.1111/j.1399-6576.2010.02354.x | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00283 | - |
dc.contributor.localId | A03873 | - |
dc.contributor.localId | A04430 | - |
dc.relation.journalcode | J00006 | - |
dc.identifier.eissn | 1399-6576 | - |
dc.identifier.pmid | 21083540 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2010.02354.x/abstract | - |
dc.contributor.alternativeName | Kil, Hae Keum | - |
dc.contributor.alternativeName | Jo, Youn Yi | - |
dc.contributor.alternativeName | Hong, Jeong Yeon | - |
dc.contributor.affiliatedAuthor | Kil, Hae Keum | - |
dc.contributor.affiliatedAuthor | Jo, Youn Yi | - |
dc.contributor.affiliatedAuthor | Hong, Jeong Yeon | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 55 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 54 | - |
dc.citation.endPage | 59 | - |
dc.identifier.bibliographicCitation | ACTA ANAESTHESIOLOGICA SCANDINAVICA, Vol.55(1) : 54-59, 2011 | - |
dc.identifier.rimsid | 28700 | - |
dc.type.rims | ART | - |
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