British Journal of Anaesthesia, Vol 81, Issue 2 247-248, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
G. Ivani, E. Lampugnani, M. Torre, G. C. Maria, P. DeNegri, F. Borrometi, A. Messeri, M. Calamandrei, P. A. Lonnqvist and N. S. Morton
In a double-blind, multicentre study 245 children aged 1-10 yr undergoing
elective minor surgery as inpatients were randomly allocated to receive a
single caudal extradural injection of 1 ml kg-1 of either 0.25% bupivacaine
or 0.2% ropivacaine after induction of light general anaesthesia. The
groups were comparable for age, weight, vital signs and duration of
surgery. The onset time was similar for ropivacaine and bupivacaine (9.7 vs
10.4 min). Further analgesia was not required in 40% of children. The mean
time to first analgesia in the remainder was 233 min in the bupivacaine
group and 271 min in the ropivacaine group. No motor block was measurable
in either group. Ropivacaine 2 mg kg-1 was as effective as bupivacaine 2.5
mg kg-1 for caudal analgesia in children.
SHORT COMMUNICATIONS
Comparison of ropivacaine with bupivacaine for paediatric caudal block
Department of Anaesthesia, Gaslini Children's Hospital, Genoa, Italy; Statistical Analysis, Gaslini Children's Hospital, Genoa, Italy; Department of Anaesthesia, "Casa Sollievo della Sofferenza", IRCCS, S. Giovanni R. (FG), Italy; Department of Anaesthesia, Santobono Children's Hospital, Naples, Italy; Department of Anaesthesia, UO Meyer, Florence, Italy; Department of Anaesthesia, Karolinska Hospital, Stockholm, Sweden; Department of Anaesthesia, Royal Hospital for Sick Children, Glasgow G3 8SJ
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