دورية
A Ropivacaine-Lidocaine Combination for Caudal Blockade in Haemorrhoidectomy
| العنوان: | A Ropivacaine-Lidocaine Combination for Caudal Blockade in Haemorrhoidectomy |
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| المؤلفون: | Ye, F, Feng, YX, Lin, JJ |
| المصدر: | Journal of International Medical Research; May 2007, Vol. 35 Issue: 3 p307-313, 7p |
| مستخلص: | A single dose of caudal lidocaine does not provide a sufficiently long anaesthetic duration and is not generally used for complicated anorectal surgery. This study evaluated the safety and efficacy of a ropivacaine–lidocaine combination for caudal anaesthesia in patients undergoing haemorrhoidectomy. A total of 287 haemorrhoid patients with successful initial caudal anaesthesia were randomized to receive either a mixture of 0.375% ropivacaine and 1.0% lidocaine (ropi–lido group; n= 146) or 1.0% lidocaine alone (placebo-lido group; n= 141). Significantly fewer patients in the ropi–lido group required intra-operative supplemental anaesthesia than in the placebo-lido group. Patients treated with the ropivacaine–lidocaine combination had significantly lower scores for pain at each post-operative time point, and a longer mean time to the first requirement for post-operative analgesic than patients in the placebo-lido group. These results suggest that caudal anaesthesia with a combination of ropivacaine and lidocaine is a safe and effective method of inducing anaesthesia during haemorrhoidectomy. |
| قاعدة البيانات: | Supplemental Index |
Full Text Finder | تدمد: | 03000605 14732300 |
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| DOI: | 10.1177/147323000703500304 |