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Titolo:
Effects of caudal block on cortisol and prolactin responses to postoperative pain in children
Autore:
Solak, M; Ulusoy, H; Sarihan, H;
Indirizzi:
Karadeniz Tech Univ, Sch Med, Dept Anaesthesiol, TR-61080 Trabzon, Turkey Karadeniz Tech Univ Trabzon Turkey TR-61080 ol, TR-61080 Trabzon, Turkey Karadeniz Tech Univ, Sch Med, Dept Pediat Surg, TR-61080 Trabzon, Turkey Karadeniz Tech Univ Trabzon Turkey TR-61080 rg, TR-61080 Trabzon, Turkey
Titolo Testata:
EUROPEAN JOURNAL OF PEDIATRIC SURGERY
fascicolo: 4, volume: 10, anno: 2000,
pagine: 219 - 223
SICI:
0939-7248(200008)10:4<219:EOCBOC>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
EPIDURAL ANALGESIA; SURGICAL STRESS; BUPIVACAINE; SURGERY; ANESTHESIA;
Keywords:
caudal anaesthesia; cortisol; prolactin; stress response;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Ulusoy, H Karadeniz Tech Univ, Sch Med, Dept Anaesthesiol, TR-61080 Trabzon, Turkey Karadeniz Tech Univ Trabzon Turkey TR-61080 80 Trabzon, Turkey
Citazione:
M. Solak et al., "Effects of caudal block on cortisol and prolactin responses to postoperative pain in children", EUR J PED S, 10(4), 2000, pp. 219-223

Abstract

We have performed a randomized controlled study in 60 children (ASA 1.8 month to 10 yrs) undergoing lower abdominal and genitourinary surgery, to assess the effects of caudal anaesthesia on plasma cortisol and prolactin concentrations during early postoperative period. After induction of anaesthesia by inhalation or intravenously, thirty children received a standardized general anaesthetic (control group) while the remaining children received caudal anaesthetics with 0.25 % bupivacaine in addition to a similar general anaesthetic (caudal group). Blood samples for cortisol and prolactin were taken after induction and 1 hour after surgery. Postoperative analgesia was assessed by modified pain objective scale and side effects were noted. Children in the caudal group had significantly smaller plasma cortisol and prolactin concentrations at 1 hr postoperatively, compared with those in the control group. Plasma cortisol concentration after induction was higher than after one hour of surgery in the caudal group. These results were correlated with pain scores. No serious side effects were recorded. In conclusion, caudal anaesthesia attenuated the postoperative cortisol and prolactin responses to surgery and pain in children.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 22:44:57