Enhancement of ropivacaine caudal analgesia using dexamethasone or magnesium in children undergoing inguinal hernia repair

  title={Enhancement of ropivacaine caudal analgesia using dexamethasone or magnesium in children undergoing inguinal hernia repair},
  author={Gamal T. Yousef and Tamer H. Ibrahim and Ahmed M. Khder and Mohamed Ibrahim},
  journal={Anesthesia, Essays and Researches},
  pages={13 - 19}
Background: Caudal analgesia is the most commonly used technique providing intra- and postoperative analgesia for various pediatric infraumbilical surgical procedures but with the disadvantage of short duration of action after single injection. Caudal dexamethasone and magnesium could offer significant analgesic benefits. We compared the analgesic effects and side-effects of dexamethasone or magnesium added to caudal ropivacaine in pediatric patients undergoing inguinal hernia repair. Materials… Expand
Evaluation of caudal dexamethasone with ropivacaine for post-operative analgesia in paediatric herniotomies: A randomised controlled study
Caudal dexamethasone added to ropivacaine is a good alternative to prolong post-operative analgesia with less pain score compared to caudal ropvacaine alone. Expand
Comparison of Ropivacaine Alone versus Ropivacaine with Dexamethasone in Caudal Block for Pediatric Post-operative Analgesia
Background: Caudal block is a regional anesthesia technique most commonly used for post-operative analgesia in children undergoing infraumbilical surgeries. The local anesthetics used in caudal blockExpand
Comparison of caudal and intravenous dexamethasone as adjuvants for caudal epidural block: A double blinded randomised controlled trial
Addition of dexamethasone both caudally or intravenously as an adjuvant to caudal 0.15% ropivacaine significantly reduced the intensity of post-operative pain and prolonged the duration ofPost-operative analgesia with the significant advantage of caUDal over IV route. Expand
Dexamethasone versus neostigmine as an adjuvant to bupivacaine 0.25% for caudal analgesia in children undergoing open inguinal hernia repair
Co-administration of dexamethasone or neostigmine with local anesthetic solution for caudal block in children undergoing unilateral open inguinal hernia repair prolonged postoperative analgesia duration and decreased post operative analgesic utilization as compared to bupivacaine alone. Expand
Effect of Adding Magnesium Sulphate to Pediatric Caudal Bupivacaine on Hemodynamics Parameters and Surgical Stress: Randomized Double-Blind Control Study
Caudal magnesium sulfate 50mg enhance caudal block and prolongs duration of analgesia with bupivacaine in pediatric patient undergoing lower abdominal surgeries under general anesthesia with minimum adverse effects. Expand
A New Look on Adding Dexamethasone as an Adjuvant to Caudal Bupivacaine; Efficacy on Postoperative Pain and Vomiting in Pediatric Patients.
The time of first analgesia and the number of patients requiring rescue analgesics were significantly decreased with intravenous or caudal dexamethasone, and a significant increase in B- Endorphin level at 3 and 24 hours postoperative was found in both dexamETHasone groups when compared with the preoperative baseline value. Expand
A comparison of dexamethasone and clonidine as an adjuvant for caudal blocks in pediatric urogenital surgeries
Background: Caudal block is a reliable regional analgesic technique for pediatric urogenital surgeries. Various adjuvants have been tried to enhance the duration of action of bupivicaine. ThoughExpand
Comparison between Dexmedetomidine or Magnesium Sulfate as Adjuvants to Bupivacaine for Caudal Anesthesia in Pediatric Patients Undergoing Infraumbilical Surgeries
Administration of Dexmedetomidine as adjuvant with Bupivacaine enhances caudal block, prolongs duration of postoperative analgesia, reduces postoperative EA and provides preferred postoperative sedation in pediatric patient undergoing infraumbilical surgeries with minimum adverse effects compared to Magnesium Sulfate as adjUvant. Expand
Nonopioid (Dexmedetomidine, Dexamethasone, Magnesium) Adjuvant to Ropivacaine Caudal Anesthesia in Pediatric Patients Undergoing Infraumbilical Surgeries: A Comparative Study
The adjuvants dexmedetomidine, dexamethasone, and magnesium added to ropivacaine prolong caudal analgesic duration without any sedation or side effect. Expand
Dexmedetomidine with magnesium sulphate as adjuvants in caudal block to augment anaesthesia and analgesia in paediatric lower abdominal surgeries
The combination of dexmedetomidine and magnesium sulphate with bupivacaine caudal block can prolong the time to first analgesia request. Expand


Ketamine for caudal analgesia in children: comparison with caudal bupivacaine.
The bupvacaine-ketamine mixture provided better analgesia than the bupivacaine solution alone and side effects such as motor weakness or urinary retention were not observed in the ketamine group. Expand
Perioperative Use of Corticosteroid and Bupivacaine Combination in Lumbar Disc Surgery: A Randomized Controlled Trial
It is concluded that the perioperative use of bupivacaine and corticosteroids during lumbar discectomy maintains effective postoperative analgesia and decreases opioid usage without complications. Expand