EFFICACY OF TWO DIFFERENT DOSES OF CLONIDINE WITH ULTRASOUND GUIDED CAUDAL IN CHILDREN

Dr.D.AMBIKAI; Dr. T.CHANDRA KUMAR

Volume : VII, Issue : XI, November - 2018

EFFICACY OF TWO DIFFERENT DOSES OF CLONIDINE WITH ULTRASOUND GUIDED CAUDAL IN CHILDREN

Dr. D. Ambikai, Dr. T. Chandra Kumar

Abstract :

The simplest, safest technique among the regional techniques in paediatric surgery was caudal ,it was selected for this study as it has a high success rate. Caudal was performed under ultrasonogram guidance, to avoid multiple needle pricks, for reducing intravascular or intrathecal complications and for improving the success rate of assessing epidural space in the first attempt. A prospective randomized double blinded study was done to compare efficacy of two different doses of clonidine with bupivacaine using ultrasound guided caudal block in children. They were divided into 2 groupsGroup 1 : 1ml/kg of 0.25% bupivacaine +1mics/kg of clonidine Group 2 : 1ml/kg of 0.25% bupivacaine +2 mics/kg of clonidine Assessment of pain by FLACC SCALE was done at 2, 6, 8, and 10 hours postoperatively. The time of arrival to POCU to the first time when FLACC score was greater than 4 was noted as the duration of adequate caudal analgesia. we found that FLACC scale score remain statistically significant at 10 hrs between two groups Clonidine 2 mics/kg can be used safely in caudal block for post operative analgesia in children