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A Comparative Study on Safety and Efficacy of Caudal, Thoracic Epidural and Intra Venous Analgesia in Paediatric Cardiac Surgery: A Doub.e b.ind Randomised Trial

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World Journal of Cardiovascular Surgery 2020年第7期10卷 101-114页

作者： Mahesh Vakamudi Rajesh Kumar V. Kodali ranjith b. karthekeyan Periyasamy Thangavel Kamalakannan G. Samb.ndham Department of Anaesthesiology Sri Ramachandra Institute of Higher Education and Research (SRIHER) Chennai India Department of Cardiac Anaesthesiology Sri Ramachandra Institute of Higher Education and Research (SRIHER) Chennai India HOD Department of Cardiac Surgery Sri Ramachandra Institute of Higher Education and Research (SRIHER) Chennai India

Introduction:Regional anaesthesia comb.ned with general anaesthesia reduces stress response to surgery, duration of ventilation, intensive care unit (ICU) stay and promotes early recovery. Studies on thoracic epidural... 详细信息

Introduction:Regional anaesthesia combined with general anaesthesia reduces stress response to surgery, duration of ventilation, intensive care unit (ICU) stay and promotes early recovery. Studies on thoracic epidural, caudal analgesia along with general anaesthesia (GA) in paediatric cardiac surgery are limited hence we aimed to compare efficacy and safety of caudal, thoracic epidural and intravenous analgesia in paediatric cardiac surgery. b.Methodology: b.This study was conducted in the Department of Anaesthesiology in a tertiary care teaching hospital in southern India from February 2019 to December 2019. 90 children were randomised into group A, group B, group C. Children in group A received caudal analgesia along with GA. Group B children received thoracic epidural along with GA. Group C patients received intravenous analgesia along with GA. Rescue analgesia 1 mcg/kg fentanyl given in all 3 groups if pain score is more than 4. Primary outcome assessed was post-op pain scores. Secondary outcome assessed was duration of ventilation, duration of intensive care unit stay. b.Results:b. All patients were comparable in terms of age, sex, weight, mean RACHS score, b.seline heart

关键词： Caudal Analgesia Thoracic Epidural Analgesia Pain Scores Paediatric Cardiac Surgery

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