POSTOPERATIVE ANALGESIA IN PAEDIATRICS PATIENTS THROUGH CAUDAL BLOCK WITH BUPIVACAINE AND TWO DIFFERENT DOSES OF FENTANYL - A COMPARATIVE STUDY.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 39
Abstract
[b] BACKGROUND[/b]: Narcotics have been used through caudal epidural route to supplement the effects of local anesthetics. [b]MATERIALS & METHODS:[/b] This prospective, comparative study was carried out in a medical college and hospital after taking approval from institutional ethical committee. Ninety paediatric cases between 2 to 7 years of age, with ASA grade I & II posted for infra-umbilical surgeries were selected for the study. They were randomly divided into three groups out of which group I received Injection Bupivacaine (0.25%) 2mg/kg with normal saline, group II bupivacaine (0.25%) 2mg/kg with fentanyl 0.5mcg/kg and group III bupivacaine (0.25%) 2mg/kg with fentanyl 1mcg/kg caudally. The outcome measures were changes in haemodynamic parameters, duration of postoperative analgesia, mean pain score and occurrence of any adverse effects. [b]RESULTS:[/b] The demographic profile was similar in all three groups. The preoperative, intra-operative and postoperative haemodynamic parameters were similar in three groups. The duration of postoperative analgesia was significantly longer in group III (9.11±0.62 hours) as compared to group II (7.1±0.66 hours) and group I (3.26±0.59 hours). Similarly the mean pain score was significantly more in group I as compared to group II and group III. The incidences of adverse effects were similar among all three groups. [b]CONCLUSION[/b]: Caudal fentanyl with bupivacaine provides prolonged and good quality postoperative analgesia as compared to plain bupivacaine in children undergoing infra-umbilical surgeries. However, fentanyl at dose of 1 μg kg-1 produces longer postoperative analgesia as compared to the dose of 0.5 μg kg-1 without any adverse effects.
Authors and Affiliations
Ranjita Acharya, Saubhagya Jena, Soumya Samal , Suvendu Mishra
Keywords
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- EP ID EP101101
- DOI 10.14260/jemds/1341
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