A Ropivacaine–Lidocaine Combination for Caudal Blockade in Haemorrhoidectomy  

Oleh:

Ye, F. ; Feng, Y.X. ; Lin, J.J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 35 no. 03 (May 2007), page 307-313.
Topik: ropivacaine; lidocaine; caudal blockade; haemorrhoidectomy

Ketersediaan

Perpustakaan FK Nomor Panggil: J11.K.2007.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

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.

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