| Regional analgesia combined with avoidance of narcotics may reduce the incidence of postoperative vomiting in children. | |
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MedLine Citation:
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PMID: 15830767 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The anesthesia literature cites a high incidence of postoperative vomiting (POV) after pediatric ochidopexy and hernia repair (34-50%) and after penile procedures (37-49%). We hypothesized that regional analgesia combined with avoidance of narcotics administered to children scheduled for lower abdominal or urologic procedures may be associated with a lower incidence of POV. The aim of this prospective study was to 1) assess the incidence of POV in children in the hospital and during a 24-h post-anesthesia study period, and 2) evaluate the effect of age on POV. METHODS: After obtaining institutional and parental consent, 110 pediatric outpatients, 1-12 yr old, ASA physical status I or II, scheduled for elective outpatient urologic or lower abdominal procedures, were enrolled. Children were fasting and premedicated with midazolam, 0.5 mg/kg p.o. They received a combined light general anesthesia and a presurgical caudal block. Anesthesia was induced via a mask and consisted of halothane and nitrous oxide in oxygen. For the caudal block 1 ml/kg of 0.25% bupivacaine or 0.2% ropivacaine were used to provide intra- and postoperative pain relief. No prophylactic antiemetics were administered. RESULTS: All caudal blocks provided adequate intraoperative pain relief. The incidence of POV was low, 12% at the hospital, 13% for the 24-h study period, and was not affected by age. CONCLUSIONS: We concluded that regional analgesia combined with the avoidance of narcotics administered to children scheduled for elective urologic or lower abdominal procedures, is associated with a lower incidence of POV and that age did not affect the incidence of POV. |
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Authors:
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Samia N Khalil; Adel Farag; Ehab Hanna; Ranganathan Govindaraj; Alice Z Chuang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Middle East journal of anesthesiology Volume: 18 ISSN: 0544-0440 ISO Abbreviation: Middle East J Anesthesiol Publication Date: 2005 Feb |
Date Detail:
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Created Date: 2005-04-15 Completed Date: 2005-05-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8604187 Medline TA: Middle East J Anesthesiol Country: Lebanon |
Other Details:
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Languages: eng Pagination: 123-32 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, The University of Texas Medical School at Houston, Texas, USA. Samia.N.Khalil@uth.tmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Child Child, Preschool Humans Incidence Infant Midazolam / therapeutic use Narcotics / adverse effects* Nerve Block Pain, Postoperative / drug therapy* Postoperative Nausea and Vomiting / epidemiology, prevention & control* Preanesthetic Medication Prospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Narcotics; 59467-70-8/Midazolam |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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