When given as venous retention pretreatments 1 min before propofol, paracetamol 1 mg kg(-1) and lidocaine 0.5 mg kg(-1) were equally effective in attenuating pain during intravenous (i.v.) injection of propofol whereas pretreatment with paracetamol 2 mg kg(-1) was shown to be the most effective treatment.
Tramadol provides similar analgesic efficacy to fentanyl. Furthermore, tramadol may provide better respiratory stability in patients undergoing a D&C procedure.
Objective Ilioinguinal/iliohypogastric (II/IH) nerve block added to general anesthesia is frequently used for postoperative analgesia in pediatric patients. We aimed to compare the postoperative analgesic effects of bupivacaine and levobupivacaine for II/IH nerve block for inguinal hernia repair in pediatric patients, which is not investigated previously.Materials and Methods: In this 2-year retrospective study, data were collected from the medical charts of patients that underwent unilateral inguinal hernia repair. Patients were included who received an II/IH nerve block with 0.2 mL/kg 0.5% of either bupivacaine (Group B) or levobupivacaine (Group L). Non-elective cases, age under 2 years and patients with multiple procedures were excluded. Demographic properties of the patients (age, weight, and sex), duration and side of surgery, pain scores, additional analgesic requirement and complications were documented. The chi-square test and the Mann-Whitney U test were used for statistical analysis Results: In both groups, the pain scores were not significantly different at post anesthesia care unit, 1, 2, 6 and 24th hours; nevertheless, the pain scores at 4th hour were significantly lower in Group L.Conclusion: II/IH nerve block added to general anesthesia is effective in inguinal region surgery of pediatric patients in postoperative pain control, and 0.5% levobupivacaine and bupivacaine had similar analgesic effect.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.