A Prospective Double Blind Study of Comparison of Postoperative Analgesic Efficacy of Caudal Ropivacaine Supplemented with Caudal or Intravenous Clonidine in Children Undergoing Subumblical Surgery.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Caudal block is most popular regional anesthetic technique used in children. It provides excellent analgesia during surgery as well as in postoperative period in subumblical surgeries. In a randomised double blind study, 60 ASA I-II patients aged 2-8 years scheduled for Elective subumblical procedures were divided into two groups of 30 each patients. Group A received 1ml/kg of 0.2% ropivacaine in addition to 2g/kg of clonidine caudally and similar volume of normal saline intravenously and Group B received 1ml/kg of 0.2% ropivacaine and 2 g/kg clonidine intravenously and simultaneously same volume of saline caudally. Hemodynamic parameters, duration of analgesia, pain scores using observational pain scoring (OPS), requirement of rescue analgesia, and various complications were recorded. The duration of analgesia in group B was 404 ± 196 minutes while in group A the duration was 428 ± 197 minutes. Maximum observational pain score (OPS) scores were comparable between the two groups. It was concluded that caudal or intravenous clonidine in the dose of 2µg/kg body weight as an additive to caudal block with ropivacaine (0.2% -1ml/kg) results in comparable analgesia and is safe and without any significant side effects.
Authors and Affiliations
Nusrat Jehan, Mubasher Ahmad, Fauzia Shiffat, Hina Bashir
Keywords
Related Articles
- EP ID EP373339
- DOI 10.9790/0853-1704126973.
- Views 42
- Downloads 0
An Observational Study of Effect of Mobile Phone Radiation on Heart Rate Variability
Introduction: Mobile phone technology revolution has resulted in a high-frequency electromagnetic environment which has resulted in a spectrum of potential health hazards. The effects of this widespread electromagnetic r...
Prognostic Factors and Outcomes after Liver Resection for Hepatocellular Carcinoma in Non-Cirrhotic, Non-Fibrotic Liver
Background: Hepatocellular carcinoma (HCC) is a major health burden and its incidence is increasing globally.Numerous publications have addressed the prognostic factors and long-term survival after liver resection for HC...
Evidence-Based Practice Awareness And Knowledge Levels among Health Care Practitioners in Saudi Tertiary Hospitals
Estimating the awareness levels of Evidence-Based Practice (EBP) among health care providers is currently active area of research. This study main objective is to evaluate the medical staff awareness about Evidence-Based...
Management Of Complicated Crown Root Fracture By Intentional Replantation- A Case Report
Complicated crown root fractures in teeth poses great challenges to the clinician in the diagnosis and management. The prognosis of such teeth is questionable as extraction of the tooth is the most common treatment optio...
A Study On In-Patient And Out-Patient Referrals Including Emergencies In General Hospital Psychiatric Unit
S.V.R.R hospital is a tertiary referral hospital attached to S.V Medical College, Tirupathi. All psychiatric referrals numbering 866 over a period from 1.1.1996 to 1.6.1996 were studied. Socio-demographic data, source an...