A study on comparison of Bupivacaine and caudal Midazolam for post-operative analgesia among male child aged below 10 years

Dr. Rakesh Bhaisare; Dr. Rakesh Dhoke; Dr. Harsh Salankar

Volume : X, Issue : I, January - 2020

A study on comparison of Bupivacaine and caudal Midazolam for post-operative analgesia among male child aged below 10 years

Dr. Rakesh Bhaisare, Dr. Rakesh Dhoke, Dr. Harsh Salankar

Abstract :

Pain is an unpleasant sensory and emotional experience. Studies have been conducted for achieving analgesia requirement of adults but the response in children are not well known. This study evaluates efficacy of midazolam for post–operative pain relief when administered epidurally, in patients undergoing unilateral inguinal herniotomy. Study included 60 children, from age 1–10 years. The patients were divided randomly into group B and group M of 30 each. Group B received caudal bupivaccine 0.25%, 1 ml/kg and Group M received caudal midazolam 50 mg/kg, diluted as 1 ml/kg with normal saline. Mean duration of post–operative analgesia was longer in Group B 491.660 ± 64.572 minutes than that in Group M 456.833 ± 59.29 minutes and is statistically significant. We conclude, caudal midazolam 50mg/kg provides equivalent analgesia to bupivacaine 0.25%, when administered preoperatively in a volume of 1ml/kg to children undergoing unilateral inguinal herniotomy, without any significant adverse effects.