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Postoperative analgesia in children who have genito‐urinary surgery A comparison between caudal buprenorphine and bupivacaine
Author(s) -
Girotra S.,
Kumar S.,
Rajendran K.M.
Publication year - 1990
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1990.tb14788.x
Subject(s) - medicine , buprenorphine , bupivacaine , anesthesia , urinary system , surgery , urinary retention , postoperative pain , opioid , receptor
Summary A study conducted on 40 children, aged 1–11 years, who had genito‐urinary surgery compared the quality and duration of analgesia after caudal blocks in two groups of patients. Group 1 (n = 20) received caudal bupivacaine 0.25% and group 2 (n = 20) caudal buprenorphine 4 μg/kg; each received 0.5 ml/kg body weight. Patients were operated on under general anaesthesia. Postoperative behaviour and severity of pain were measured on a 3‐point scale. The results indicate that caudal buprenorphine provides excellent postoperative analgesia in children comparable to caudal bupivacaine in the early postoperative period. Buprenorphine proved better in the late postoperative period. Analgesia lasted from 20 hours to more than 24 hours after caudal buprenorphine with fewer side effects.