COMPARISON OF CAUDAL AND GENERAL ANESTHESIA IN ORTHOPEDIC SURGERY OF LOWER EXTRIMITIES IN CHILDREN YOUNGER THAN TEN YEARS

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MOSAFA F.; SHAHRAKI H.R.; RAMBOUD M.; HEMMATI M.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2005 | Volume:27 | Issue:50 Page(s): 11-19

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Information Journal Paper

Title

COMPARISON OF CAUDAL AND GENERAL ANESTHESIA IN ORTHOPEDIC SURGERY OF LOWER EXTRIMITIES IN CHILDREN YOUNGER THAN TEN YEARS

Author(s)

MOSAFA F. | SHAHRAKI H.R. | RAMBOUD M. | HEMMATI M. | Issue Writer Certificate

Keywords

CAUDAL ANESTHESIAQ4

GENERAL ANESTHESIAQ3

PEDIATRICQ3

ORTHOPEDICSQ3

PAINQ2

Abstract

Background: Regional anesthesia is becoming more popular in children because of its benefits for patients in the post operative period. Capability of safely providing better conditions of PAIN and discomfort will enhance by increasing understanding local anesthetic pharamcology toxicity and complications. Materials and Methods: In this study 60 children undergoing lower extremity orthopedic surgery were assigned in a single blind randomized clinical trial to receive either CAUDAL ANESTHESIA (30 cases: sedated by 0.05-0.1 mg/kg Midazolam, 0.5 mg/kg Ketamine and 1 µg/kg Fentanyl and caudal injection of 1 cc/kg Lidocaine 1% plus Marcaine 0.25%) or GENERAL ANESTHESIA (30 controls: sedated by 0.05-0.1 mg/kg Midazolam and 1 µg/kg Fentanyul and induction of anesthesia by 5-6 mg/kg Nesdonal and 0.5 mg/kg Atracorium and the Halothan 0.5% and N2O 50% plus Fentanyl and Atracoruim as needed). Patients with gross spinal anomalies, CNS or local infections, coagulopathy, history of allergic reaction to local anesthetic agents and seizure were excluded. Arterial O2 saturation and pulse rate during surgery duration of recovery agitation and common drug complications and severity of PAIN during the first twelve hours after surgery were compared. Fisher's exact test. Chi square test, independent sample T-Test was used as required for statistical analysis. P<0.05 was considered significant. Results: The two groups were similar in age, sex, duration of anesthesia and surgery. Pulse rate was significantly lower in cases at 15th and 75th minutes of surgery and recovery. The average duration of recovery was shorter among cases versus controls (16 vs. 21 minutes) the severity of PAIN at 1st and 3rd hours after surgery and frequency of analgesic injection in ward during the 3rd and nausea during the 1st hour after surgery was statistically significant lower than controls. There were no differences in other outcome variables between groups. Conclusion: The results of CAUDAL ANESTHESIA (especially post operative PAIN) were better than GENERAL ANESTHESIA overally in our study. Of course it seems that experience and skill of anesthesiologist in performing CAUDAL ANESTHESIA are important influencing factors on its outcome.

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APA: Copy

MOSAFA, F., SHAHRAKI, H.R., RAMBOUD, M., & HEMMATI, M.. (2005). COMPARISON OF CAUDAL AND GENERAL ANESTHESIA IN ORTHOPEDIC SURGERY OF LOWER EXTRIMITIES IN CHILDREN YOUNGER THAN TEN YEARS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 27(50), 11-19. SID. https://sid.ir/paper/63361/en

Vancouver: Copy

MOSAFA F., SHAHRAKI H.R., RAMBOUD M., HEMMATI M.. COMPARISON OF CAUDAL AND GENERAL ANESTHESIA IN ORTHOPEDIC SURGERY OF LOWER EXTRIMITIES IN CHILDREN YOUNGER THAN TEN YEARS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2005;27(50):11-19. Available from: https://sid.ir/paper/63361/en

IEEE: Copy

F. MOSAFA, H.R. SHAHRAKI, M. RAMBOUD, and M. HEMMATI, “COMPARISON OF CAUDAL AND GENERAL ANESTHESIA IN ORTHOPEDIC SURGERY OF LOWER EXTRIMITIES IN CHILDREN YOUNGER THAN TEN YEARS,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 27, no. 50, pp. 11–19, 2005, [Online]. Available: https://sid.ir/paper/63361/en

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