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Efficacy of caudal vs intravenous administration of α2 adrenoceptor agonists to prolong analgesia in pediatric caudal block: A systematic review and meta‐analysis

Paediatric Anaesthesia Sep 30, 2020

Xing M, Liang X, Li L, et al. - In this systematic review and meta‐analysis, researchers compared the analgesic effectiveness of caudal vs intravenous α2 adrenoceptor agonists during pediatric caudal block. Following the PRISMA guidelines, a systematic search, data extraction, bias risk assessment, and pooled data analysis were conducted. All randomized controlled trials contrasting caudal with intravenous α2 adrenoceptor agonists in pediatric caudal block have been involved. In total, 244 patients in five trials have been identified. During pediatric caudal block, caudal α2 adrenoceptor agonists as adjuncts to local anesthetic are more effective than intravenous injection. However, the limited sample size and significant heterogeneity also influenced the outcomes.

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