Table 1. Characteristics of included studies.
Reference | Age, years | Patient number (magnesium/ control) | Surgery | Local anesthetics used for caudal anesthesia | Amount of local anesthetics | Scoring tool for pain | Definition of the end of analgesic duration |
---|---|---|---|---|---|---|---|
Birbicer 2007 [18] | 2–10 | 23/37 | Inguinal hernia repair, orchidopexy, circumcision |
0.25% ropivacaine | 0.5 mL/kg | POPS, CHEOPS | Not defined |
Elshal 2009 [19] | 4–10 | 20/20 | Hypospadias surgery | 0.25% ropivacaine | 0.5 mL/kg (1 mL/kg in Discussion) | OPS | First dose of analgesia administered (OPS ≥4) |
Kim 2014 [20] | 2–6 | 39/38 | Inguinal hernia repair | 0.15% ropivacaine | 1 mL/kg | PPPM | First oral acetaminophen administration after surgery (when PPPM was ≥6) |
Yousef 2014 [21] | 1–6 | 35/35 | Inguinal hernia repair | 0.15% ropivacaine | 1.5 mL/kg | CHEOPS, FLACC | Time when FLACC and CHEOP was ≥4 |
Sridhar 2017 [16] | 3–12 | 32/32 | Infraumbilical surgery | 0.2% ropivacaine | 0.5 mL/kg | MOPS | The time from caudal block to acetaminophen administration (MOPS >4) |
Askar 2017 [17] | 1–6 | 30/30 | Inguinal orchidopexy, distal hypospadias surgery, inguinal hernia repair | 0.25% bupivacaine | 1 mL/kg | FLACC | The time from caudal block to the first analgesic administration (FLACC > 7) |
POPS, Paediatric Objective Pain Score; CHEOPS, Children’s Hospital of Eastern Ontario Pain Scale; OPS, Objective Pain Scale; PPPM, Parent’s Postoperative Pain Measurement; FLACC, Faces Legs Activity Cry Consolability tool; MOPS, Modified Objective Pain Score