So sánh các tác dụng không mong muốn của gây tê khoang cùng bằng levobupivacain - fentanyl với bupivacain - fentanyl trong phẫu thuật vùng dưới rốn ở trẻ em

Abstract

Objective: To compare the side effects of levobupivacaine-fentanyl versus bupivacaine-fentanyl in pediatric patients undergoing umbilical surgery with caudal blockade. Subject and method: A randomized, controlled trial of 70 patients undergoing umbilical surgery by caudal blockage and laryngeal mask anesthesia, divided into two groups: Group I using levobupivacaine 2mg/kg + fentanyl 1μg/kg; group II used bupivacaine 2mg/kg + fentanyl 1μg/kg for caudal blockage. Result: There was no difference in heart rate, respiratory rate, arterial blood pressure, SpO₂ during and after surgery. No case had respiratory frequency, heart rate, arterial blood pressure decrease < 20% base in 2 groups. Side effects were: Nausea, vomiting (group I: 5.7%, group II: 8%); Itching (group I: 5.7%, group II: 2.85%); chills (group I: 5.7%, group II: 5.7%), urinary retention (group I: 2.85%, group II: 2.85%). There was no case of postoperative respiratory depression after surgery. The level and duration of motor block recovery in the two groups was not statistically significant (p>0.05). Conclusion: Side effects of caudal blockade of levobupivacaine-fentanyl in pediatric patients undergoing umbilical surgery was similar that of bupivacaine - fentanyl.