Pediatrics Medical News about Analgesia Anesthesia, Caudal

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A Comparison of High Volume/Low Concentration and Low Volume/High Concentration Ropivacaine in Caudal Analgesia for Pediatric Orchiopexy
Anesthesia & Analgesia, 09/21/09

Hong J–Y et al. – A caudal block with 1 mL/kg ropivacaine spreads to T11 and to T6 with 1.5 mL/kg. If the total dose is fixed, caudal analgesia with a larger volume of diluted ropivacaine (0.15%) provides better quality and longer duration after discharge than a smaller volume of more concentrated ropivacaine (0.225%) in children undergoing day–case orchiopexy. The spread level of ropivacaine correlated significantly with the first oral acetaminophen time after discharge.

Exclusive Author Commentary
Hae Keum Kil, 09/27/09

Several drugs such as clonicin, ketamine, or midazolam have been added to the local anesthetic to improve the postoperative analgesic quality and duration for caudal block in children. As the results of our study, sole local anesthetic with high volume (1.5 mL/kg) in low-concentration (0.15%) ropivacaine could provide an long enough and effective postoperative analgesia without any significant side effects in caudal block for children undergoing ambulatory surgery.

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