Pediatric anesthesia & critical care

Intravenous dexamethasone does not prolong the duration of pudendal nerve block in infants and children undergoing hypospadias surgery: A randomized clinical trial

Paediatr AnaesthPublished Randomised controlled trial

Primary result · Time to first PCA-by-proxy bolusResult — go to the resultHazard ratio 0.8 95% CI 0.43–1.47

Authors' conclusion

Administration of intravenous dexamethasone did not enhance the duration of pudendal nerve block in infants and children aged 6-36 months who underwent hypospadias surgery.

Study context

Population
Children aged 6–36 months undergoing hypospadias surgery with bilateral pudendal block (0.3 mL/kg 0.225% ropivacaine)
Participants
46 children
Comparison
IV dexamethasone 0.5 mg/kg vs normal saline with pudendal block
Primary endpoint
Time to first PCA by proxy bolus dose

Primary result

Time to first PCA-by-proxy bolus

Hazard ratio

0.8

95% CI 0.43–1.47

P = 0.46

By group

Control vs Dexamethasone
HR 0.8 (95% CI 0.43–1.47); P = 0.46

As reported in the abstract

Secondary outcomes

Pain score, number of PCA by proxy bolus attempts, rescue analgesics, total fentanyl, parental satisfaction

No statistically significant differences

Original publication

Intravenous dexamethasone does not prolong the duration of pudendal nerve block in infants and children undergoing hypospadias surgery: A randomized clinical trial. Paediatr Anaesth. Published 1 December 2023. doi:10.1111/pan.14805

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.