Academic Journal
View in EDS

Effect of epidural block on surgical conditions during pediatric subumbilical laparoscopic surgery involving a supraglottic airway: a randomized clinical trial

Bibliographic Details
Title: Effect of epidural block on surgical conditions during pediatric subumbilical laparoscopic surgery involving a supraglottic airway: a randomized clinical trial
Authors: Lei Wu, Siwei Wei, Zhen Xiang, Eryou Yu, Zheng Chen, Zhen Du, Shuang Quan Qu
Source: Frontiers in Medicine, Vol 10 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Medicine (General)
Subject Terms: supraglottic airway, laryngeal mask airway, neuromuscular block, epidural block, pediatric laparoscopy, surgical conditions, Medicine (General), R5-920
More Details: BackgroundFew studies have examined the effect of epidural block on surgical conditions during pediatric subumbilical laparoscopic surgery involving a supraglottic airway (SGA). This study investigated the surgical condition scores for such procedures in cases where neuromuscular block, epidural block, or neither was used.MethodsA total of 150 patients aged 3–12 years undergoing laparoscopic orchiopexy with a ProSeal SGA device were randomly allocated to one of three groups: the control group (did not receive neuromuscular block and epidural block), the NMB group [received a neuromuscular block (train-of-four 1–2 twitches) using rocuronium], or the EDB group (received an epidural block using ropivacaine). The primary outcome was the quality of surgical conditions evaluated with the Leiden-Surgical Rating Scale by the blinded surgeon. The secondary outcome measures included intraoperative hemodynamic data (including mean arterial pressure and heart rate), the SGA device removal time, the PACU discharge time, the pain score in the PACU and intraoperative adverse events (including bradycardia, hypotension, peak airway pressure > 20 cmH2O, and poor or extremely poor surgical conditions occurred during the operation). Statistical analysis was performed with one-way analysis of variance, the Kruskal–Wallis test, the chi-square test or Fisher’s exact test. Bonferroni corrections for multiple comparisons were made for primary and secondary outcomes.ResultsSurgical condition scores were significantly higher in the NMB and EDB groups than in the control group (median difference: 0.8; 95% confidence interval [CI], 0.5–1.0; p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-858X
Relation: https://www.frontiersin.org/articles/10.3389/fmed.2023.1250039/full; https://doaj.org/toc/2296-858X
DOI: 10.3389/fmed.2023.1250039
Access URL: https://doaj.org/article/9355406113304689a687c94d2d3d854b
Accession Number: edsdoj.9355406113304689a687c94d2d3d854b
Database: Directory of Open Access Journals
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:edsdoj&genre=article&issn=2296858X&ISBN=&volume=10&issue=&date=20231001&spage=&pages=&title=Frontiers in Medicine&atitle=Effect%20of%20epidural%20block%20on%20surgical%20conditions%20during%20pediatric%20subumbilical%20laparoscopic%20surgery%20involving%20a%20supraglottic%20airway%3A%20a%20randomized%20clinical%20trial&aulast=Lei%20Wu&id=DOI:10.3389/fmed.2023.1250039
    Name: Full Text Finder (for New FTF UI) (s8985755)
    Category: fullText
    Text: Find It @ SCU Libraries
    MouseOverText: Find It @ SCU Libraries
  – Url: https://doaj.org/article/9355406113304689a687c94d2d3d854b
    Name: EDS - DOAJ (s8985755)
    Category: fullText
    Text: View record from DOAJ
    MouseOverText: View record from DOAJ
Header DbId: edsdoj
DbLabel: Directory of Open Access Journals
An: edsdoj.9355406113304689a687c94d2d3d854b
RelevancyScore: 975
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 975.269348144531
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Effect of epidural block on surgical conditions during pediatric subumbilical laparoscopic surgery involving a supraglottic airway: a randomized clinical trial
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lei+Wu%22">Lei Wu</searchLink><br /><searchLink fieldCode="AR" term="%22Siwei+Wei%22">Siwei Wei</searchLink><br /><searchLink fieldCode="AR" term="%22Zhen+Xiang%22">Zhen Xiang</searchLink><br /><searchLink fieldCode="AR" term="%22Eryou+Yu%22">Eryou Yu</searchLink><br /><searchLink fieldCode="AR" term="%22Zheng+Chen%22">Zheng Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Zhen+Du%22">Zhen Du</searchLink><br /><searchLink fieldCode="AR" term="%22Shuang+Quan+Qu%22">Shuang Quan Qu</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: Frontiers in Medicine, Vol 10 (2023)
– Name: Publisher
  Label: Publisher Information
  Group: PubInfo
  Data: Frontiers Media S.A., 2023.
– Name: DatePubCY
  Label: Publication Year
  Group: Date
  Data: 2023
– Name: Subset
  Label: Collection
  Group: HoldingsInfo
  Data: LCC:Medicine (General)
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22supraglottic+airway%22">supraglottic airway</searchLink><br /><searchLink fieldCode="DE" term="%22laryngeal+mask+airway%22">laryngeal mask airway</searchLink><br /><searchLink fieldCode="DE" term="%22neuromuscular+block%22">neuromuscular block</searchLink><br /><searchLink fieldCode="DE" term="%22epidural+block%22">epidural block</searchLink><br /><searchLink fieldCode="DE" term="%22pediatric+laparoscopy%22">pediatric laparoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22surgical+conditions%22">surgical conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Medicine+%28General%29%22">Medicine (General)</searchLink><br /><searchLink fieldCode="DE" term="%22R5-920%22">R5-920</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: BackgroundFew studies have examined the effect of epidural block on surgical conditions during pediatric subumbilical laparoscopic surgery involving a supraglottic airway (SGA). This study investigated the surgical condition scores for such procedures in cases where neuromuscular block, epidural block, or neither was used.MethodsA total of 150 patients aged 3–12 years undergoing laparoscopic orchiopexy with a ProSeal SGA device were randomly allocated to one of three groups: the control group (did not receive neuromuscular block and epidural block), the NMB group [received a neuromuscular block (train-of-four 1–2 twitches) using rocuronium], or the EDB group (received an epidural block using ropivacaine). The primary outcome was the quality of surgical conditions evaluated with the Leiden-Surgical Rating Scale by the blinded surgeon. The secondary outcome measures included intraoperative hemodynamic data (including mean arterial pressure and heart rate), the SGA device removal time, the PACU discharge time, the pain score in the PACU and intraoperative adverse events (including bradycardia, hypotension, peak airway pressure > 20 cmH2O, and poor or extremely poor surgical conditions occurred during the operation). Statistical analysis was performed with one-way analysis of variance, the Kruskal–Wallis test, the chi-square test or Fisher’s exact test. Bonferroni corrections for multiple comparisons were made for primary and secondary outcomes.ResultsSurgical condition scores were significantly higher in the NMB and EDB groups than in the control group (median difference: 0.8; 95% confidence interval [CI], 0.5–1.0; p
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: article
– Name: Format
  Label: File Description
  Group: SrcInfo
  Data: electronic resource
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 2296-858X
– Name: NoteTitleSource
  Label: Relation
  Group: SrcInfo
  Data: https://www.frontiersin.org/articles/10.3389/fmed.2023.1250039/full; https://doaj.org/toc/2296-858X
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.3389/fmed.2023.1250039
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://doaj.org/article/9355406113304689a687c94d2d3d854b" linkWindow="_blank">https://doaj.org/article/9355406113304689a687c94d2d3d854b</link>
– Name: AN
  Label: Accession Number
  Group: ID
  Data: edsdoj.9355406113304689a687c94d2d3d854b
PLink https://login.libproxy.scu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edsdoj&AN=edsdoj.9355406113304689a687c94d2d3d854b
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.3389/fmed.2023.1250039
    Languages:
      – Text: English
    Subjects:
      – SubjectFull: supraglottic airway
        Type: general
      – SubjectFull: laryngeal mask airway
        Type: general
      – SubjectFull: neuromuscular block
        Type: general
      – SubjectFull: epidural block
        Type: general
      – SubjectFull: pediatric laparoscopy
        Type: general
      – SubjectFull: surgical conditions
        Type: general
      – SubjectFull: Medicine (General)
        Type: general
      – SubjectFull: R5-920
        Type: general
    Titles:
      – TitleFull: Effect of epidural block on surgical conditions during pediatric subumbilical laparoscopic surgery involving a supraglottic airway: a randomized clinical trial
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Lei Wu
      – PersonEntity:
          Name:
            NameFull: Siwei Wei
      – PersonEntity:
          Name:
            NameFull: Zhen Xiang
      – PersonEntity:
          Name:
            NameFull: Eryou Yu
      – PersonEntity:
          Name:
            NameFull: Zheng Chen
      – PersonEntity:
          Name:
            NameFull: Zhen Du
      – PersonEntity:
          Name:
            NameFull: Shuang Quan Qu
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 2296858X
          Numbering:
            – Type: volume
              Value: 10
          Titles:
            – TitleFull: Frontiers in Medicine
              Type: main
ResultId 1