Abstract
Background: This prospective, randomized, double-blind study aimed to determine whether caudal midazolam combined with ropivacaine affects anesthetic requirements, recovery profiles, and post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty. Methods: Sixty boys (2-5 years old) received caudal injections of 0.2% ropivacaine 1 ml/kg and epinephrine 1 : 200,000 with (RM group) or without (R group) 50 μg/kg of midazolam under sevoflurane anesthesia. The sevoflurane requirement was determined by adjusting to a bispectral index score=50. Results: Concentrations of end-tidal sevoflurane (ETsevo%) after induction were similar in both groups. After caudal block, ETsevo% before and after surgical stimuli did not show significant intra- or intergroup differences. Recovery characteristics, including post-operative sedations, were similar in both groups. Post-operative pain scores were significantly lower in the RM group than the R group. Conclusions: Caudal midazolam (50 μg/kg) added to 2% ropivacaine did not influence sevoflurane requirement or recovery but improved post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty.
Original language | English |
---|---|
Pages (from-to) | 1411-1414 |
Number of pages | 4 |
Journal | Acta Anaesthesiologica Scandinavica |
Volume | 52 |
Issue number | 10 |
DOIs | |
Publication status | Published - 2008 Nov |
Externally published | Yes |
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine