Key result
Caudal injection of 0.2% ropivacaine reduced the need for postoperative paracetamol compared to 0.25% bupivacaine (10% vs 50%) and prolonged the duration of analgesia (520 min vs 253 min).
Why the study?
Does caudal ropivacaine improve postoperative analgesia compared to bupivacaine in children undergoing elective minor surgery?
Population
40 patients, aged 1-9 years, undergoing elective minor surgery
Comparison
Caudal injection of 0.2% ropivacaine 2 mg/kg… vs Caudal injection of 0.25% bupivacaine 2 mg/kg…
Design
RCT, Randomly divided in two groups, Double blind
Follow-up
24 hours
Authors
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Supports preferring caudal ropivacaine over bupivacaine in pediatric minor surgery; extends comparative evidence on duration and rescue needs.
RCT (n=40)
Double-blind
randomly divided
Does caudal ropivacaine improve postoperative analgesia compared to bupivacaine in children undergoing elective minor surgery?
Absolute Event Rate: 10% vs 50%
Caudal ropivacaine provides longer postoperative analgesia with less need for rescue medication compared to bupivacaine in pediatric minor surgery.
Ivani et al. (1998) conducted an RCT in elective minor surgery (n=40). ropivacaine vs. bupivacaine 0.25% 2 mg.kg-1 was evaluated on need for paracetamol in the first 24 h after surgery. Caudal injection of 0.2% ropivacaine reduced the need for postoperative paracetamol compared to 0.25% bupivacaine (10% vs 50%) and prolonged the duration of analgesia (520 min vs 253 min).
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