EFFICACY OF CLONIDINE AS AN ADJUVANT TO BUPIVACAINE FOR CAUDAL ANALGESIA IN CHILDREN UNDERGOING SUB-UMBILICAL SURGERY

Dr. Ashwini D Rane

Volume : IX, Issue : II, February - 2020

EFFICACY OF CLONIDINE AS AN ADJUVANT TO BUPIVACAINE FOR CAUDAL ANALGESIA IN CHILDREN UNDERGOING SUB-UMBILICAL SURGERY

Dr. Ashwini D Rane

Abstract :

Study is done on caudal epidural block using bupivacaine alone and bupivacaine with clonidine combination was conducted in 60 children in the age group of 1 to 8 years of ASA grade I and II coming for various elective sub–umbilical surgeries which include herniotomy , circumcision,orchidopexy, perineal surgeries.Theywere divided into two groups of 30 each. Group A received caudal bupivacaine 0.25% (1ml/kg). Group B received caudal bupivacaine 0.25% (1ml/kg) with clonidine (1μg/kg).The main parameters studied were hemodynamic changes, duration of post– operative analgesia and incidence of side–effects. Both the groups were comparable with respect to age, sex and weight distribution. Post–operative analgesia was assessed by using Paediatric Objective Pain scale.The mean duration of post–operative analgesia was 252 ± 40.7 min in group A and 433.5 ± 60.2 min in group B, thereby reducing the requirement of analgesics in group B in the post–operative period.There was no significant difference between the two groups with respect to haemodynamic parameters.