Observational Study to Compare Dexmedetomidine and Dexamethasone as an Adjuvant to Ropivacaine 0.2% in Potentiation of Post Operative Analgesia in Caudal Block
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Caudal block is commonly performed in paediatric anaesthesia for post-operative analgesia using various adjuvants. Aim of Study: To compare efficacy and safety of dexmedetomidine and dexamethasone in view of post-operative analgesia along with haemodynamic stability when used as adjuvant to local anaesthetic. Material and Method: After the approval of ethical committee, an observational study of 60 pediatric patients calculated using website http://openepi.com (2-6 years old) of either gender and ASA I and II scheduled for infra-umbilical surgeries under general anesthesia allocated to 2 groups of which Group A received inj dexmedetomidine and group B received inj dexamethasone as an adjuvant to inj ropivacaine 0.2% (1 ml/kg) caudally after completion of surgery Haemodynamic parameters and pain score (FLACC) were recorded every 2 hourly upto 8 hours in post operative period. Rescue analgesia was given when score was ³4. Total duration of analgesia was recorded. Statistical Analysis: Numerical variables were presented as mean and standard deviation while categorical variables were presented as frequency and percent. For analysis, unpaired student – t test and chi – square test were used. Results: The groups were comparable in demographics and haemodynamics. The mean duration of analgesia was similar in both the groups. The pain score in the two groups were comparable. Conclusion: Both dexamethasone and dexmedetomidine prolonged the duration of analgesia with no significant difference between them. Dexamethasone can be used as an alternative to dexmedetomidine as an adjuvant in caudal block in paediatric patients.
Authors and Affiliations
Tavri Sumeet B.
Keywords
Related Articles
- EP ID EP533431
- DOI 10.21088/ijaa.2349.8471.5318.14
- Views 93
- Downloads 0
Efficacy of USG-Guided Bilateral Subcostal Tranversus Abdominis Plane Block and Conventional Port Site Infiltration after Laparoscopic Cholecystectomy: A Prospective Randomised Controlled Study
Aim and objectives: This prospective, randomised, single blinded controlled study evaluated and compared the efficacy of Bilateral subcostal USG- guided Transversus Abdominis muscle plane block to the Conventional Port s...
A Prospective Study of IV Dexamethasone in Reducing Post-Op Cough Hoarseness and Sore Throat in Patients undergoing Microvascular Reconstruction Surgery
Microvascular reconstruction surgery operated for more than 5 hours duration under general anaesthesia with endotracheal intubation is challenging to the anaesthesiologist. Post op cough, hoarseness and sorethroat are si...
Peri-Operative Considerations in Gout and Hyperuricemia: A Narrative Review
Gout is a chronic metabolic, inflammatory disease causing hyperuricemia with formation and deposition of monosodium urate crystals in joints, tissues and involving multiple systems. It has important anaesthetic and criti...
A Comparative Study between 0.5% Bupivacaine with Clonidine Additive and 0.5% Bupivacaine Plain for Brachial Plexus Block by Supraclavicular Aprroach in Upper Limb Surgeries Using Ultrasound Guided Technique
Supraclavicular Brachial plexus block provides safe,effective,low cost anaesthesia with excellent post operative analgesia . The current study was an attempt to compare Bupivacaine 0.5% with Bupivacaine 0.5% plus Clioni...
To Evaluate the Efficacy of Ultrasound in Assessing Subglottic Tracheal Diameter for Endotracheal Intubation
Introduction: This study was conducted to assess the accuracy of ultrasound for estimation of appropriate sized endotracheal tube. Methods: Patients underwent preoperative ultrasound examination during pre-anesthetic che...