A Comparison of High Volume/Low Concentration and Low Volume/High Concentration Ropivacaine in Caudal Analgesia for Pediatric Orchiopexy

2010 ◽  
Vol 2010 ◽  
pp. 128-130
Author(s):  
S. Black
2009 ◽  
Vol 109 (4) ◽  
pp. 1073-1078 ◽  
Author(s):  
Jeong-Yeon Hong ◽  
Sang W. Han ◽  
Won O. Kim ◽  
Jin S. Cho ◽  
Hae K. Kil

2019 ◽  
Vol 8 (8) ◽  
pp. 1133
Author(s):  
Hyungmook Lee ◽  
Jaehee Chung ◽  
Minsoo Lee ◽  
Sungwon Yang ◽  
Haejin Lee

Transverse abdominis plane (TAP) block can provide post-operative analgesia in children undergoing open inguinal hernia repair. However, the optimal anesthetic dose, and concentration for TAP block in the pediatric population, is not well defined. This study compared the post-operative analgesic effect of TAP block between low-concentration, with high-volume (LCHV) and high-concentration, with low-volume (HCLV) combinations of local anesthetic. Forty-four patients who underwent open inguinal hernia repair were randomly assigned to two groups. The patients in the LCHV group received 0.67 mL/kg of 0.15% ropivacaine. Whereas, those in the HCLV group received 0.4 mL/kg of 0.25% ropivacaine. Both groups received the same amount of ropivacaine (1 mg/kg). The primary outcome measure was the face, leg, activity, cry, consolability (FLACC) scale score at post-anesthetic care unit (PACU; T1). FLACC scale score at T1 was significantly lower in the HCLV group (2.91 versus 1.43; mean difference, −1.49; 95% confidence interval, −0.0245 to −2.936; p = 0.0464). FLACC scale scores one hour and six hours after the surgery were not different between the two groups. This study reports better post-operative analgesic effects after unilateral open inguinal hernia repair with 1 mg/kg of 0.25% ropivacaine than 1 mg/kg of 0.15% ropivacaine at PACU.


2006 ◽  
Vol 23 (Supplement 37) ◽  
pp. 167
Author(s):  
A. Camporesi ◽  
P. Silvani ◽  
M. Romiti ◽  
M. R. Agostino

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