scholarly journals Effect of Intranasal Dexmedetomidine on Duration of Anesthesia and Postoperative Analgesia after Bupivacaine Caudal Epidural Anesthesia in Children Undergoing Infraumbilical Surgeries

2019 ◽  
Vol 6 (6 (P-1)) ◽  
pp. 1881-1887
Author(s):  
Akshata Aravind Kulkarni ◽  
◽  
Vandana A Gogate ◽  
Shreedevi Yenni ◽  
Santosh B Kurbet ◽  
...  
Author(s):  
Jared R. E. Hylton ◽  
Jorge A. Pineda

Caudal epidural anesthesia in pediatric patients was first described in 1933 as a replacement for general anesthesia in 83 children undergoing transurethral surgery, and since that time it has been shown to be useful in a variety of surgeries. The popularity of this block stems from its efficacy, simplicity, speed, and relative safety. The caudal approach to the epidural space can be used for the administration of local anesthetic and adjunct medications for either surgical anesthesia or postoperative analgesia. This technique is most commonly applied to surgical procedures occurring below the umbilicus and is frequently used as a single injection technique to be performed after induction of general anesthesia and before surgical incision for augmentation of general anesthesia and postoperative pain control. For longer procedures, a catheter can be placed to facilitate repeat dosing at the conclusion of surgery. Alternatively, more cephalad dermatomes can be anesthetized with an epidural catheter threaded to the desired level. The benefits of caudal epidural anesthesia extend beyond postoperative analgesia and include decreased intraoperative anesthetic requirements and a reduction in the neuroendocrine stress response to surgery.


2019 ◽  
Vol 69 (1) ◽  
pp. 27-34
Author(s):  
Ana Cláudia Mota Bonisson ◽  
Magda Lourenço Fernandes ◽  
Guilherme Freitas Araújo ◽  
Fabrício Eduardo Vieira ◽  
Luíza Melo Noronha ◽  
...  

2021 ◽  
Author(s):  
Endalkachew hailu ◽  
Gashaw Kasse

Abstract Background: Caudal epidural anesthesia commonly utilized in veterinary practice to allow diagnostic, obstetrical, and surgical interventions in the perineal region of cows. An experimental study conducted on epidural anesthesia from October 2018 to March 2019 on 6 cows with repeated treatments after one week by two groups of anesthetic drugs. Methods and materias First Lignocaine is given for Group-I of cows in the first intercoccygeal space and then the same animals after one week injected Lignocaine-Xylazine together in the intercoccygeal space. The Clinical-physiological parameters such as the onset of analgesia, duration of analgesia, ataxia, sedation, heart rate, respiratory rate, and rectal temperature between the two groups studied by compression. Finally, the significance of the change in the study unit between Lignocaine and Lignocaine-Xylazine analyzed according to SPSS version 19 for t-test and P-value <0.05 taken as statistically significant. Results: There was no significant change that appeared between the onset of analgesia of Lignocaine (4.3±0.6min) alone and Lignocaine-Xylazine (4.9±1.1min) injection together (t=1.17; P>0.05). This indicates that the addition of Xylazine to Lignocaine does not significantly delay the onset of anesthesia. However, there was a significant difference observed in the duration of analgesia between two groups (t=13.2; P<0.05) with Lignocaine-Xylazine (259.5±12.38min) longer duration than Lignocaine alone (84±4.05min). This indicates that Lignocaine and Xylazine have an additive effect on the duration of analgesia. In the case of physiological parameters, there were significant variations in heart rate (t=7.5; P<0.05) with Group II cows lower in heart rate than Group I cows. Statistically, a significant difference was also observed on respiratory rate (t=2.13; P<0.05) in which the addition of Xylazine on Lignocaine significantly lower breathing rate than Lignocaine injection alone. Finally, on rectal temperature, there was no statistically significant difference appeared (t=1.7; P>0.005) with rectal temperature in Group I cows (0.15± 0.28 OC) and in Group II cows (0.9±0.31 OC) which indicate that addition of Xylazine to Lignocaine lower rectal temperature similar to Lignocaine injection alone. Mild ataxia was observed in three groups I, cows, and there was no sedation and salivation noted at all. In Group II, cows mild to severe ataxia, deep sedation, salivation, and falling observed. In both groups, there was no anesthetic complication during epidural analgesia and after recovery noted.Conclusion: generally this study showed that, combination of Lignocaine and Xylazine have an additive effect on the duration and quality of analgesia.


2008 ◽  
Vol 33 (Suppl 1) ◽  
pp. e74.2-e74
Author(s):  
A. S. Bigham ◽  
Shafiei Z. Sarvestani ◽  
M. Shadkhast ◽  
S. Sharifi ◽  
M. H. Mahdavi

2008 ◽  
Vol 33 (5) ◽  
pp. e74-e74
Author(s):  
A BIGHAM ◽  
Z SARVESTANI ◽  
M SHADKHAST ◽  
S SHARIFI ◽  
M MAHDAVI

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