The Comparative Study of Injection Bupivacaine 0.5% Vs.injection Tramadol+Injection Bupivacaine 0.5% in Caudal Epidural Anesthesia in Infraumbilical Surgeries in Paediatric Patients

Dr.Harshad C.Dongare; Dr.Dhanashree H. Dongare

Volume : IV, Issue : VIII, August - 2014

The Comparative Study of Injection Bupivacaine 0.5% Vs.injection Tramadol+Injection Bupivacaine 0.5% in Caudal Epidural Anesthesia in Infraumbilical Surgeries in Paediatric Patients

Dr. Harshad C. Dongare, Dr. Dhanashree H. Dongare

Abstract :

Aims and objectives of this study are to compare 1) The rapidity of onset of sensory blockade. 2) Duration of analgesia. 3) The rapidity of onset of motor blockade. 4) Duration of motor blockade. 5) Complications if any. This study was conducted to see the effect of Tramadol when used along with Bupivacaine for Caudal epidural block, regarding onset and duration of analgesia, motor blocked and complications. Total 60 cases of 2 to 12 years posted for infraumbilical surgeries were randomly divided in two groups. Patients from group I (Control Group) were received inj. Bupivacaine 0.25% caudally and group II (Study group) were received inj. Bupivacaine 0.25% + Inj. Tramadol 2 mg/ kg. In both group the total volume used was 1ml/kg. Onset of analgesia in Bupivacaine group was (11.0 + 1.1 min) and in Bupivacaine + Tramadol group was (10.2 + 1.1 min), which is not significant statistically. While the duration of analgesia in Tramadol + Bupivacaine was significantly prolonged (10.9 + 0.9 hrs) as compared to plain Bupivacaine group (6.74 + 0.8 hrs).so addition of Tramadol to the local anesthetic solution to be injected in caudal block significantly increases the duration of analgesia without increasing the complication