Intra-Operative Efficacy of General Anaesthesia vs General Anaesthesia with Paediatric Epidural Anaesthesia: A Clinical Comparative Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 1
Abstract
Paediatric epidural anaesthesia (PEA) is very safe and effective and in combination withGeneral anaesthesia (GA) offers the advantages of reduced GA drugs, stable haemodynamics and excellent analgesia extended into the post-operative period. Aims: To evaluate the efficacy of GA+PEA in comparison to GA with regard to (i) Haemodynamic parameters (ii) dose requirement of Neuromuscular Blocking Agents (NMB) (iii) Quality of surgical relaxation. Material and Methods: 80 children of ASA statusI & II (2 to 12 yrs), scheduled for elective surgeries were randomly assigned to GA or GA+PEA groups. Both the groups received routine GA. In GA+PEA, an epidural catheter was inserted and Bupivacaine 0.25% was administered intra-operatively. Haemodynamic parameters, doses of NMB and quality of surgical relaxation (graded by surgeon) were recorded. Statistical Analysis: Chi-square test, student-t test and repeated measures ANOVA test were used to analyse categorical, demographic and haemodynamic parameters respectively. A p-value<0.05 was considered significant. Results: Rise in heart rate(HR) and mean arterial pressure (MAP) from base-line was significantly lower in GA+PEA with p value of 0.017 and <0.001 respectively. Doses of NMB agents required in GA+PEA were significantly lower with p value <0.001. The grading of quality of surgical relaxation was same in both the groups. Conclusion: GA+PEA is more favourable for patients with regard to stable haemodynamics, reduced requirement of NMB agents with equally good surgical relaxation when compared to GA alone.
Authors and Affiliations
Uma B. R.
Keywords
Related Articles
- EP ID EP529589
- DOI 10.21088/ijaa.2349.8471.5118.14
- Views 106
- Downloads 0
A Comparative Study between Continuous Epidural Infusion and Continuous Femoral Nerve Block for Post-Operative Pain Relief in Total Knee Replacement Surgeries
Background: Postoperative pain management in TKR is of imperative importance. Epidural analgesia though considered as a standard technique in postoperative pain management in TKR it was commonly associated with unwanted...
Effect of Dexmedetomidine Infusion on Halothane Requirement to Provide Oligaemic Surgical Field during Middle Ear Surgery under General Anaesthesia
Introduction: Middle ear surgeries require hypotensive anaesthesia to improve quality of surgical field. Dexmedetomidine is α2 agonist which provides desired surgical field, sedation and analgesia. Aim: The present study...
Obese Parturient: Anaesthesiologist’s Nightmare
Obesity is increasing in general population, and especially in pregnant mothers, which significantly increases the risk of maternal and fetal complications. Body Mass Index (BMI) is a simple index of weight-for-height,...
Comparison of Ropivacaine with Clonodine Versus Ropivacaine alone in Supraclavicular Block: A Randomised Study
Introduction: Ropivacaine is a new local anesthetic agent with minimal cardiovascular toxicity. Various adjuvant have been tried with local anesthetics to prolong post operative analgesia, clonidine is one such drug. The...
Compare the Efficacy of Prochlorperazine and Granisetron in Patients Undergoing Total Abdominal Hysterectomy
Aim: To compare the effectiveness of mouth dissolving antiemeticsprochlorperazine and granisetron in the prevention of postoperative nausea and vomiting in patients undergoing abdominal hysterectomy under spinal anaesthe...