18749

Comparative study of Ropivacaine versus Bupivacaine for pediatric caudal block

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Ropivacaine is a long acting amino-amide local anesthetic, it is less cardiotoxic and less likely to cause motor blockade than bupivacaine. In our study we compared the effectiveness, degree of motor block produced by either ropivacaine or bupivacaine as well as the onset and duration of both drugs. Fourty children ASA I scheduled for elective minor lower abdominal surgery were randomly allocated to receive a single caudal extradural injection of 1ml/ kg of either ropivacaine 0.375% r group (n=20) or bupivacaine 0.375 % b group (n=20) after induction of general anesthesia. Heart rate and arterial blood pressure were measured every 5 minutes from the beginning of G. A. until the child is transferred to the ward. The extent of motor block in the recovery room was scored according to modified Bromage scale , time to first analgesic requirement were recorded. Both groups were similar in age, weight, and there were no difference in heart rate or arterial blood pressure. Yet the degree of motor block was significantly different between the two groups. Ropivacaine group showed a shorter duration of motor block than bupivacaine group, postoperative analgesia was required at almost equal time in both groups. These findings suggest that there is no great difference between ropivacaine compared with bupivacaine as regard the hemodynamics or sensory block, yet ropivacaine is superior for it s safety and less motor block.

DOI

10.21608/ejhm.2002.18749

Authors

First Name

Omar

Last Name

Elsafty

MiddleName

-

Affiliation

Department of anesthesia Ain shams university

Email

-

City

-

Orcid

-

First Name

Ahmed M.S.

Last Name

Hamed

MiddleName

-

Affiliation

Department of anesthesia Ain shams university

Email

-

City

-

Orcid

-

First Name

Sherif

Last Name

Wadie

MiddleName

-

Affiliation

Department of anesthesia Ain shams university

Email

-

City

-

Orcid

-

First Name

Maged M.

Last Name

Kamel

MiddleName

-

Affiliation

Department of anesthesia Ain shams university

Email

-

City

-

Orcid

-

Volume

8

Article Issue

1

Related Issue

3805

Issue Date

2002-07-01

Receive Date

2018-11-12

Publish Date

2002-07-01

Page Start

88

Page End

93

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_18749.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=18749

Order

10

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparative study of Ropivacaine versus Bupivacaine for pediatric caudal block

Details

Type

Article

Created At

22 Jan 2023