A COMPARATIVE STUDY OF BUPIVACAINE WITH DEXMEDITOMIDINE AND ROPIVACAINE WITH DEXMEDITOMIDINE IN PAEDIATRIC CAUDAL BLOCK FOR INFRAUMBLICAL SURGERIES.

Dr.M.SAKUNTALA; Dr. G.VIJAYA

Volume : VII, Issue : IX, September - 2017

A COMPARATIVE STUDY OF BUPIVACAINE WITH DEXMEDITOMIDINE AND ROPIVACAINE WITH DEXMEDITOMIDINE IN PAEDIATRIC CAUDAL BLOCK FOR INFRAUMBLICAL SURGERIES.

Dr. M. Sakuntala, Dr. G. Vijaya

Abstract :

The objective of this study were to compare the effects of pediatric caudal ropivacaine and dexmedetomidine with bupivacaine and dexmedetomidine for infraumbilical surgeries. METHODS: In a randomised, prospective, parallel group, double binded study, 60 were recruited and allocated into two groups: GROUP RD (n=30) received o.25% ropivacaine 1mg/kg with dexmedetomidine1microgram/kg and GROUP BD (n=30) received 0.25% bupivacaine 1ml/kg with dexmedetomidine 1microgram/kg. After intubation caudal block performed in all patients. The patients were observed for hemodynamic stability , sedation with Ramsays sedation scale, and pain was assesed with face, leg activity, cry, consolability, (FLACC) pain score. RESULTS: The mean duration of effective analgesia in Group RD patients was 13.98± 0.95hrs versus 9.88 ±0.9hrs in Group BD patients with P value of 0.0001 which is satistically significant CONCLUSION: Dexmedetomidine as an adjuvant to ropivacaine increases the duration of caudal analgesia with out increase in adverse effects in children undergoing infraumbilical surgeries.