A COMPARATIVE STUDY OF EFFICACY OF PLAIN ROPIVACAINE WITH ROPIVACAINE AND CLONIDINE FOR POSTOPERATIVE CAUDAL ANALGESIA IN PAEDIATRIC PATIENTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 17
Abstract
AIM: To evaluate the efficacy of plain ropivacaine 0.25% with that of ropivacaine 0.25% and clonidine 2µg/kg for post-operative analgesia caudally in paediatric patients undergoing subumblical surgeries. MATERIALS AND METHODS: 50 paediatric patients aged between 2-9 years of ASA-I and II, divided into two groups. After giving GA, caudal block is performed in both the groups for post-operative analgesia. Group A receiving plain ropivacaine 0.25%, Group B receiving ropivacaine 0.25% and clonidine 2µg/kg, duration of analgesia, requirement of rescue medication, sedation score, hemodynamic effects and any adverse effects are compared between the two groups. RESULTS: Mean duration of analgesia in Group A is 484.04 minutes, In Group B with addition of clonidine is 771.12 minutes. No of doses of rescue medication required Group A 12 patients required single dose and 2 doses in 8 patients, In Group B 7 patients required single dose and one patient required 2 doses. CONCLUSION: Clonidine as an adjunct to ropivacaine prolongs the duration of analgesia decrease the need of postoperative rescue analgesia with stable hemodynamics.
Authors and Affiliations
Varma T. A. R. S. , Hemalatha D, Satyanarayana A
Keywords
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- EP ID EP227313
- DOI 10.18410/jebmh/2015/367
- Views 67
- Downloads 0
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