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Efficacy and safety of caudal dexmedetomidine in pediatric infra-umbilical surgery: a meta-analysis and trial-sequential analysis of randomized controlled trials.

Ushma Jitendra ShahDerek NguyenNiveditha KaruppiaahJanet MartinHerman Sehmbi
Published in: Regional anesthesia and pain medicine (2021)
Our results suggest that the addition of dexmedetomidine to local anesthetic in caudal block significantly improves the duration of analgesia and reduces the analgesic requirements, while maintaining a similar risk-profile compared with local anesthetic alone. Further data on neurological safety are needed.
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