A COMPARATIVE STUDY OF CAUDALLY ADMINISTERED BUPIVACAINE AND BUPIVACAINE-TRAMADOL COMBINATION FOR POSTOPERATIVE ANALGESIA IN CHILDREN IN INFRAUMBILICAL SURGERIES.

Dr. Jigyasa Shahani; Dr.Kaushlesh Sharma

Volume : IX, Issue : II, February - 2019

A COMPARATIVE STUDY OF CAUDALLY ADMINISTERED BUPIVACAINE AND BUPIVACAINE-TRAMADOL COMBINATION FOR POSTOPERATIVE ANALGESIA IN CHILDREN IN INFRAUMBILICAL SURGERIES.

Dr. Jigyasa Shahani, Dr. Kaushlesh Sharma

Abstract :

Caudal anaesthesia is commonly performed regional block in children for infraumdilical surgeries. Caudal opioids have advantages of prolonging the duration of analgesia over bupivacaine alone. In this study effect of tramadol as adjuvant to bupivacaine has been compared with bupivacaine alone with regards to analgesic potency and side effects. 60 children of either sex, age group of 1–12 yrs and ASA grade I & II , posted for surgery were randomly divided into 2 groups of 30 each. Group A received caudal 1 ml/kg 0.25% bupivacaine and Group B received caudal 1 ml/kg 0.25% of bupivacaine with tramadol 1mg/kg. Result– mean duration of analgesia in group B was 425.3 ± 33.4 minutes and 219.3 ± 19.1 minutes in group A. There were no significant side effects in both groups. Conclusion– Caudal administration of bupivacaine 0.25% (1ml/kg) with tramadol (1mg/kg) resulted in superior analgesia as compared to 0.25% bupivacaine (1ml/kg) alone, without significant incidence of side effects