COMPARATIVE STUDY OF INJECTION BUPIVACAINE(0.25%)+ INJECTION TRAMADOL VERSUS INJECTION PLAIN BUPIVACAINE(0.25%) IN CAUDAL EPIDURAL ANAESTHESIA IN PAEDIATRIC PATIENTS FOR LOWER LIMB ORTHOPEDIC SURGERIES

Dr.Rupal B.Shah; Dr.Rupal K.Kapadia; Dr.Rajendra M.Loriya; Dr.Tushar Patel; Dr.Hanna Musa

Volume : VI, Issue : IX, September - 2016

COMPARATIVE STUDY OF INJECTION BUPIVACAINE(0.25%)+ INJECTION TRAMADOL VERSUS INJECTION PLAIN BUPIVACAINE(0.25%) IN CAUDAL EPIDURAL ANAESTHESIA IN PAEDIATRIC PATIENTS FOR LOWER LIMB ORTHOPEDIC SURGERIES

Dr. Rupal B. Shah, Dr. Rupal K. Kapadia, Dr. Rajendra M. Loriya, Dr. Tushar Patel, Dr. Hanna Musa

Abstract :

To compare the effects of caudal Bupivacaine alone and Bupivacaine–Tramadol in young children for lower limb orthopedic surgeries.Aim of the study was to compare quality and duration of analgesia In a double blind study,40 paediatric patients of ASA I and II were randomly allocated in two groups to receive 1ml/ kg of either 0.25% Bupivacaine or 0.25%Bupivacaine+Tramadol via caudal route. There was no significant difference between the two groups in hemodynamic variables, onset of sensory and motor block, complications. The quality and duration of analgesia was more with Tramadol group. Bupivacaine+Tramadol is a safe and effective combination which provides prolonged postoperative analgesia following caudal block.