Title: Intrapleural Bupivacaine Analgesia: Bolus Versus Continuous Infusion Technique for Postoperative Pain Relief in Children
Abstract: Many serious problems can occur in children due to unrelieved postoperative pain. Intrapleural regional analgesia is a new postoperative pain relief technique. The aim of the present study was to evaluate the efficacy of intrapleural bupivacaine administration either by bolus or by continuous infusion method for providing postoperative pain relief in children following upper abdominal surgery. The study was carried out on 30 children scheduled for upper abdominal operations and randomly divided into two equal groups. Group A received a single dose of 1.5 mg. kg - 1 of 0.25% bupivacaine while the other Group B received 0.125 mg. kg - 1 . hour - 1 of 0.25% bupivacaine infusion after an initial bolus dose of 0.4 mg. kg - 1 of 0.25% bupivacaine. The results showed a significant decrease in haemodynamic parameters under designed techniques with significant improvement of respiratory functions. Pain relief score and Prince Henry scale were significantly decreased in both groups with longer periods of postoperative analgesia in Group B. Both techniques proved to be convenient and safe postoperative pain-relief methods in children following upper abdominal surgical interventions. Either method had its own advantages and disadvantages.
Publication Year: 2008
Publication Date: 2008-07-01
Language: en
Type: article
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Cited By Count: 3
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