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Factors influencing agitation during anesthesia recovery after laparoscopic hernia repair under total inhalation combined with caudal block anesthesia.
World J Gastrointest Surg
November 2024
Department of Anesthesiology, Nanning Tenth People's Hospital, Nanning 530105, Guangxi Zhuang Autonomous Region, China.
Background: Laparoscopic hernia repair is a minimally invasive surgery, but patients may experience emergence agitation (EA) during the post-anesthesia recovery period, which can increase pain and lead to complications such as wound reopening and bleeding. There is limited research on the risk factors for this agitation, and few effective tools exist to predict it. Therefore, by integrating clinical data, we have developed nomograms and random forest predictive models to help clinicians predict and potentially prevent EA.
View Article and Find Full Text PDFA randomized double-blinded study assessing the effect of different doses of transnasal dexmedetomidine on the median effective concentration of ropivacaine for a caudal block.
Front Med (Lausanne)
November 2024
Department of Anesthesiology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
Background: Perineural administration of dexmedetomidine (PN-DEX) can enhance the efficacy of local anesthetics used in regional nerve blocks while decreasing the median effective concentration (EC50) of these anesthetics. Intranasal administration of dexmedetomidine (IN-DEX) is more accessible for sedation during regional anesthesia because of its non-invasive systemic administration and demonstrates synergism with local anesthetic. However, it remains unclear whether IN-DEX affects the EC50 of local anesthetics used in caudal blocks.
View Article and Find Full Text PDFBack to the Future: Historic Insights and Recent Innovations in Pediatric Regional Anesthesia.
J Clin Med
November 2024
Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794, USA.
Pediatric regional anesthesia is evolving with new peripheral nerve blocks and techniques aimed at improving perioperative pain management. While caudal blocks have long been standard due to their simplicity and low complication rates, newer fascial plane blocks offer comparable efficacy with enhanced nerve coverage tailored to specific surgeries. Moreover, adjuncts like dexmedetomidine and dexamethasone have shown promise in prolonging block duration and enhancing post-operative pain relief and patient satisfaction.
View Article and Find Full Text PDFComparison of the Analgesic Efficacy of Ultrasound-Guided Transperineal Approach Using Pudendal Nerve Block Versus Caudal Block in Children Undergoing Urological Surgeries: A Randomized Controlled Trial.
Cureus
November 2024
Department of Pediatrics and Neonatology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Introduction: Caudal block is an effective regional anesthesia technique for perineal surgeries but is associated with various adverse effects. Recently, pudendal nerve block has emerged as a promising alternative for these procedures. This study assessed the effectiveness of a novel transperineal technique for ultrasound-guided pudendal nerve block and compares it with ultrasound-guided caudal block for perineal surgeries in pediatric patients.
View Article and Find Full Text PDFPrevalence of Caudal Block and Duration of Analgesia of Caudal Dexmedetomidine Adjunct in Pediatric Lower Abdominal Surgery.
J Nepal Health Res Counc
October 2024
Department of Anaesthesiology and Critical Care, Kanti Childrens Hospital, Maharajgunj, Kathmandu, Nepal.
Article Synopsis
- Caudal block is a popular method for managing postoperative pain in children, but its effects can be brief.
- This study evaluated the prevalence and effectiveness of dexmedetomidine as an adjunct to prolong analgesia in children aged 2 to 7 undergoing lower abdominal surgeries.
- Results showed that 50.03% of the 449 children received a caudal block, with those using dexmedetomidine and ropivacaine experiencing approximately 840 minutes of pain relief post-surgery.
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