Caudal midazolam does not affect sevoflurane requirements and recovery in pediatric day-case hernioplasty

J. Y. Hong, I. H. Lee, S. K. Shin, E. Y. Park, S. Y. Ban, J. E. Cho, H. K. Kil

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: This prospective, randomized, double-blind study aimed to determine whether caudal midazolam combined with ropivacaine affects anesthetic requirements, recovery profiles, and post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty. Methods: Sixty boys (2-5 years old) received caudal injections of 0.2% ropivacaine 1 ml/kg and epinephrine 1 : 200,000 with (RM group) or without (R group) 50 μg/kg of midazolam under sevoflurane anesthesia. The sevoflurane requirement was determined by adjusting to a bispectral index score=50. Results: Concentrations of end-tidal sevoflurane (ETsevo%) after induction were similar in both groups. After caudal block, ETsevo% before and after surgical stimuli did not show significant intra- or intergroup differences. Recovery characteristics, including post-operative sedations, were similar in both groups. Post-operative pain scores were significantly lower in the RM group than the R group. Conclusions: Caudal midazolam (50 μg/kg) added to 2% ropivacaine did not influence sevoflurane requirement or recovery but improved post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty.

Original languageEnglish
Pages (from-to)1411-1414
Number of pages4
JournalActa Anaesthesiologica Scandinavica
Volume52
Issue number10
DOIs
Publication statusPublished - 2008 Nov

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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