Preservative-free racemic ketamine with bupivacaine: a desirable option for extended caudal analgesia in pediatric surgery

2016 ◽  
Vol 9 (3) ◽  
pp. 426
Author(s):  
Deepa Chandramohan ◽  
ShirleyA D’Souza
2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Erhan Ozyurt ◽  
Zekiye Bigat ◽  
Bilge Karsli ◽  
Arda Tasatargil ◽  
Inanc Elif Gurer ◽  
...  

Abstract Background This study aims to investigate the histopathological and analgesic effects of intrathecal administration of dexmedetomidine, preservative-free racemic ketamine, and magnesium sulfate in Sprague Dawley rats. This study included 40 male Sprague Dawley rats weighing between 240 and 260 g. After the intrathecal catheterization, the rats were randomly divided into four groups. Following the baseline measurements, no drugs were administered in the control group (group C). Simultaneously, 0.02 ml (1 μgr/kg) of dexmedetomidine was administered in group D, 0.02 ml (1 mg/kg) preservative-free racemic ketamine in group K and 0.02 ml (0.05 mg/kg) magnesium sulfate in group M via intrathecal route. Concomitantly, the hot-plate test was used to measure the analgesic effect of drugs. For histopathological evaluation, the rats were sacrificed to obtain the medulla spinalis. Results The hot-plate test revealed that the mean response time was 6.3 ± 1.2 s in baseline measurements without medication. However, prolongation in the mean response times of the drug-administered groups to the hot-plate test was also observed. Upon histopathological examination, myelin degeneration was detected in all study groups. No inflammation was observed in rats in group D, whereas inflammation was noted in only two rats in group K. Concerning the presence of red neurons, the only group that differed from the control group belonged to group K. Conclusions Dexmedetomidine, preservative-free racemic ketamine, and magnesium sulfate have an analgesic effect when administered intrathecally in rats. Of these drugs, preservative-free racemic ketamine stands out as the most histopathologically safe drug.


2013 ◽  
Vol 155 (12) ◽  
pp. 669-675 ◽  
Author(s):  
R. Bettschart-Wolfensberger ◽  
S. Stauffer ◽  
M. Hässig ◽  
D. Flaherty ◽  
S.K. Ringer
Keyword(s):  

2013 ◽  
Author(s):  
Maria Paula de Oliveira Pires ◽  
Mavilde da Luz Gonçalves Pedreira ◽  
Maria Angélica Sorgini Peterlini
Keyword(s):  

2018 ◽  
Vol 2 (S1) ◽  
pp. e000125
Author(s):  
Khyati Vaja ◽  
Mukesh Suvera

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.


2020 ◽  
Vol 72 (2) ◽  
Author(s):  
Emanuele Caredda ◽  
Stefano Guolo ◽  
Silvia Rinaldi ◽  
Carla Brusco ◽  
Massimiliano Raponi

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