A comparative study of caudal bupivacaine  and bupivacaine with clonidine for postoperative analgesia in paediatric patients

Dr. Upasna Bhatia; Dr. Mikita J Chaudhari; Dr. Sumit Parmar; Dr. Kirti D Patel

Volume : II, Issue : VII, July - 2013

A comparative study of caudal bupivacaine and bupivacaine with clonidine for postoperative analgesia in paediatric patients

Dr. Upasna Bhatia, Dr. Mikita J Chaudhari, Dr. Sumit Parmar, Dr. Kirti D Patel

Abstract :

Pain in infancy is a developmental process. Due to the underdeveloped pain pathways in the spinal cord, the threshold of stimulation and sensation of pain is low at birth and has potential impacts on increasing the central effects of pain. Primary trauma during infancy can cause long term changes in structure and function of pain pathways that continue until adulthood. Lack of pain management in children can result in morbidity and mortality This is a study of 60 patients of 2-12 years age weighing ≤ 20 kg of ASA status I & II undergoing elective infraumblical surgeries.. They were randomly divided into two groups of 30 each .Group A received 0.5% plain Bupivacaine 2mg/kg and normal saline. Group B received 0.5% Bupivacaine 2mg/ kg with1 ug/kg clonidine and normal saline ,making it 1 ml/kg. We found that the duration of analgesia and sedation was higher in group B in post operative period . Need for postoperative rescue analgesics were also less in group B