Caudal anesthesia for minor pediatric surgery: A prospective randomized comparison of ropivacaine 0.2% vs levobupivacaine 0.2%

Giorgio Ivani, P. De Negri, P. A. Lonnqvist, M. L'Erario, V. Mossetti, A. Difilippo, F. Rosso

Research output: Contribution to journalArticle

Abstract

Background: Previous published data comparing ropivacaine 0.2% with levobupivacaine 0.25% have suggested that ropivacaine might be associated with less early postoperative motor blockade compared with levobupivacaine. The aim of the present study was to further investigate this issue comparing equal concentrations (0.2%) of ropivacaine and levobupivacaine in children undergoing minor subumbilical surgery. Methods: Following induction of a standardized anesthetic, patients (1-7 years) were randomized in a double-blind manner to receive a caudal block with either ropivacaine 0.2% (group R, n = 30) or levobupivacaine 0.2% (group L, n = 30), total volume 1 ml·kg -1. Motor blockade (modified Bromage scale; primary end-point) and analgesia [Children and Infants Postoperative Pain Scale (CHIPPS) score] were assessed at predetermined time points during the first 24-postoperative hours. Results: Motor blockade was only registered during the first post-operative hour with no significant differences between the groups (group R n = 5, group L n = 8). Postoperative CHIPPS scores were almost identical in both groups with only seven and six patients requiring supplemental analgesia (CHIPPS score ≥4) in the R and L groups, respectively. Conclusions: A 0.2% concentrations of ropivacaine or levobupivacaine are clinically very similar with regard to postoperative analgesia and unwanted postoperative motor blockade in children undergoing minor subumbilical surgery.

Original languageEnglish
Pages (from-to)491-494
Number of pages4
JournalPaediatric Anaesthesia
Volume15
Issue number6
DOIs
Publication statusPublished - 2005

Keywords

  • Analgesia: Postoperative
  • Anesthesia: Regional, caudal
  • Blockade: Motor
  • Bupivacaine
  • Child
  • Levobupivacaine
  • Ropivacaine

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

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