IRIS – Institutional Research Information System
IRIS è il sistema di gestione della ricerca dell’Università degli Studi di Milano-Bicocca.Il repository BOA è il modulo del sistema dedicato alla raccolta e alla disseminazione della produzione scientifica di Ateneo. Le pubblicazioni sono ricercabili per parola chiave attraverso il box nella barra orizzontale in alto oppure, mediante il pulsante Sfoglia, per "Afferenza", "Autore", "Titolo", "Tipologia" o "Settore scientifico-disciplinare".
IRIS contiene inoltre alcuni moduli dedicati alla registrazione dei progetti e dei contratti, e alla reportistica avanzata per le attività di valutazione della ricerca
EnglishBACKGROUND: There is no consensus on the concentration or type of local anesthetic used for initiation of epidural anesthesia. The aim of this randomized, double-blind, controlled trial was to compare the clinical effectiveness of epidural administration of both levobupivacaine and bupivacaine in 0.2% and 0.25% concentrations in pediatric patients undergoing abdominal and urological surgery. METHODS: One hundred and forty-one children scheduled for lower abdominal and urological surgery were randomized to receive 0.4-0.6 ml.kg(-1) epidural, 0.25% bupivacaine, 0.2% bupivacaine, 0.25% levobupivacaine or 0.2% levobupivacaine. Initial epidural volumes, onset times; hemodynamic consequences, postoperative pain scores and degree of residual postoperative motor block were all recorded. RESULTS: There were no significant differences in the proportion of children with effective analgesia after incision [0.20% bupivacaine 97%, 0.25% bupivacaine 94%, 0.20% levobupivacaine 91%, 0.25% levobupivacaine 92% (P=0.73)] when a median volume of 0.55 ml.kg(-1) was used. There was no association between the volume used for thoracic, lumbar, or sacral epidural anesthesia and the effectiveness of the agents used. There was a significantly greater incidence of pain on awakening with the 0.2% solutions compared with the 0.25% solutions, but no differences in the incidence of residual motor block between groups. CONCLUSIONS: While there is no difference in the proportion of effective surgical anesthesia, the lower incidence of pain and distress with the 0.25% solutions suggests that this concentration has clinical advantages over the 0.2% solutions for pediatric epidural anesthesia.
Ingelmo, P.M., Locatelli, B.G., Frawley, G., Knottenbelt, G., Favarato, M., Spotti, A., et al. (2007). The optimum initial pediatric epidural bolus: a comparison of four local anesthetic solutions. PAEDIATRIC ANAESTHESIA, 17(12), 1166-1175 [10.1111/j.1460-9592.2007.02327.x].
| Citazione: | Ingelmo, P.M., Locatelli, B.G., Frawley, G., Knottenbelt, G., Favarato, M., Spotti, A., et al. (2007). The optimum initial pediatric epidural bolus: a comparison of four local anesthetic solutions. PAEDIATRIC ANAESTHESIA, 17(12), 1166-1175 [10.1111/j.1460-9592.2007.02327.x]. | |
| Tipo: | Articolo in rivista - Articolo scientifico | |
| Carattere della pubblicazione: | Scientifica | |
| Titolo: | The optimum initial pediatric epidural bolus: a comparison of four local anesthetic solutions | |
| Autori: | Ingelmo, PM; Locatelli, BG; Frawley, G; Knottenbelt, G; Favarato, M; Spotti, A; Fumagalli, R | |
| Autori: | ||
| Data di pubblicazione: | dic-2007 | |
| Lingua: | English | |
| Rivista: | PAEDIATRIC ANAESTHESIA | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1111/j.1460-9592.2007.02327.x | |
| Appare nelle tipologie: | 01 - Articolo su rivista |
File in questo prodotto:
Copyright © 2022