Journal article
Midazolam for caudal analgesia in children: comparison with caudal bupivacaine
Canadian journal of anesthesia, Vol.42(9), pp.758-764
09/1995
DOI: 10.1007/BF03011172
PMID: 7497553
Abstract
In a randomized, double-blind study we have examined the analgesic efficacy of caudal administration of midazolam, bupivacaine, or a mixture of both drugs in 45 children, undergoing inguinal herniotomy. They were allocated randomly into three groups (n = 15 in each) to receive a caudal injection of either 0.25% bupivacaine 1 ml.kg-1 with or without midazolam 50 micrograms.kg-1 or midazolam 50 micrograms.kg-1 with normal saline 1 ml.kg-1. There were no differences in quality of pain relief, postoperative behaviour or analgesic requirements between the midazolam group and the other two groups. Times to first analgesic administration (paracetamol suppositories) were longer (P < 0.001) in the bupivacaine-midazolam group than in the other two groups. Further, the bupivacaine-midazolam group received fewer (P < 0.05) doses of paracetamol than the bupivacaine group. Side effects such as motor weakness, respiratory depression or prolonged sedation were not observed in patients who received caudal epidural midazolam only. We conclude that caudal midazolam in a dose of 50 micrograms.kg-1 provides equivalent analgesia to bupivacaine 0.25%, when administered postoperatively in a volume of 1 ml.kg-1 for children following unilateral inguinal herniotomy.
Details
- Title: Subtitle
- Midazolam for caudal analgesia in children: comparison with caudal bupivacaine
- Creators
- Mohamed NaguibMohamed El GammalYasser S ElhattabMohamed Seraj
- Resource Type
- Journal article
- Publication Details
- Canadian journal of anesthesia, Vol.42(9), pp.758-764
- DOI
- 10.1007/BF03011172
- PMID
- 7497553
- ISSN
- 0832-610X
- eISSN
- 1496-8975
- Language
- English
- Date published
- 09/1995
- Academic Unit
- Anesthesia
- Record Identifier
- 9984006483102771
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