Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2018
Incidence and factors contributing to postdischarge nausea and vomiting in pediatric ambulatory surgical cases.
Little is known regarding the incidence and contributing factors of postdischarge nausea and vomiting in children. ⋯ We found an incidence of postdischarge nausea and vomiting of 14%. Intraoperative and postdischarge opioids increase the risk, with long-acting intraoperative opioids further accentuating the risk.
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Paediatric anaesthesia · Mar 2018
Review Meta AnalysisCaudal and intravenous dexamethasone as an adjuvant to pediatric caudal block: A systematic review and meta-analysis.
Dexamethasone has become a popular additive for regional anesthesia. The aim of this meta-analysis was to assess the effectiveness of this additive on the duration of postoperative analgesia, postoperative vomiting, and possible adverse events in pediatrics. ⋯ Caudal and intravenous dexamethasone could provide longer duration of postoperative analgesia and reduced the incidence of postoperative vomiting with comparable adverse effects than plain caudal block. However, any additive to the caudal space carries with it the potential for neurotoxicity and that caution should always be exercised when weighting the risks and benefits of any additive. The result was influenced by small numbers of participants and significant heterogeneity.