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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.69 No.2
- 발행연도
- 2016.1
- 수록면
- 149 - 154 (6page)
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초록· 키워드
오류제보하기
Background: Caudal block is a popular regional anesthesia in children undergoing infraumbilical surgeries including inguinal hernia repair and orchiopexy. We evaluated the efficacy of eutectic mixture of local anesthetic (EMLA) cream for reducing needle insertion pain during caudal block in pediatric patients. Methods: Forty-one children between the ages of 13 months and 5 years undergoing infraumbilical surgery were randomized to receive either topical EMLA or placebo cream over the sacral hiatus one hour before caudal block. All children were assessed with the Multidimensional Assessment Pain Scale (MAPS) at the following time points. T0: arrival at the operation room; T1: just before needle insertion; T2: immediately after needle insertion into the sacral hiatus. The need for sevoflurane inhalation due to procedural pain response was also assessed at the same time as MAPS assessment. Results: MAPS scores were significantly lower in the EMLA group compared with the placebo group at T2 (P = 0.001). Moreover, need for sevoflurane inhalation due to procedural pain response was significantly lower in the EMLA group compared with the control group at T2 (P < 0.001). Conclusions: We suggest that pretreatment with EMLA cream over the sacral hiatus before caudal block has significant advantages in alleviating procedure pain during caudal block in children.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Dalens B / 1989 / Regional anesthesia in children / Anesth Analg 68:654~672
Dalens B / 1989 / Caudal anesthesia in pediatric surgery: success rate and adverse effects in 750 consecutive patients / Anesth Analg 68:83~89
AstraZeneca / EMLAⓇ Cream Package insert
Abuelkheir M / 2014 / EMLA(R) cream: a pain-relieving strategy for childhood vaccination / J Int Med Res 42:329~336
Lal MK / 2001 / Comparison of EMLA cream versus placebo in children receiving distraction therapy for venepuncture / Acta Paediatr 90:154~159
Dalens B / 1989 / Caudal anesthesia in pediatric surgery: success rate and adverse effects in 750 consecutive patients / Anesth Analg 68:83~89
AstraZeneca / EMLAⓇ Cream Package insert
Abuelkheir M / 2014 / EMLA(R) cream: a pain-relieving strategy for childhood vaccination / J Int Med Res 42:329~336
Lal MK / 2001 / Comparison of EMLA cream versus placebo in children receiving distraction therapy for venepuncture / Acta Paediatr 90:154~159
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