Caudal anaesthesia in paediatric patients: Comparison of analgesic efficacy between ropivacaine and bupivacaine
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
Background: In paediatric regional analgesia, caudal epidural technique is safe and commonly performed procedure for intra and postoperative analgesia especially for subumbilical surgeries. Bupivacaine has proved its efficacy in producing long lasting analgesia whereas Ropivacaine also provides similar type of pain relief and is less cardiotoxic than bupivacaine so good for caudal epidural analgesia. Aim: to compare an equal volume of bupivacaine and ropivacaine for caudal analgesia in paediatric patient undergoing subumbilic surgeries. Material and Methods: Sixty cases, in the age group of 2 to 10 years were randomly divided in to two equal groups, Group A (received 0.25% Ropivacaine -1 ml/kg body weight) and Group B (received 0.25% Bupivacaine -1 ml/kg body weight) via caudal route. Block was performed after induction of anaesthesia. Results: There were no significant differences between the two groups in base line parameters. Duration of analgesia for group A was hrs and 5.92 ±1.24 Hrs that for group B was 6.17 ± 1.1 hrs. There was no significant difference in duration of analgesia in two groups. Conclusion: Caudal Ropivacaine provides effective postoperative analgesia, similar to Bupivacaine in paediatric patients
Authors and Affiliations
Laxman Bhagwanrao Poulkar, Vaishnavi V Kulkarni, Pushpa I Agrawal
Keywords
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