A Prospective Study of Effect Of Caudal Morphine And Fentanyl Addition To Ropivacaine In Paediatric Infraumbilical Surgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
INTRODUCTION: caudal epidural analgesia is commonly practiced regional block technique in children undergoing infraumbilical surgeries but has a short duration of action after single shot local anaesthetic injection. The aim of this study was to determine effect of caudal morphine and fentanyl addition to ropivacaine in pediatric infraumbilical surgery. MATERIALS AND METHODS: 80 pediatric patients undergoing various elective lower abdominal surgeries like circumcision, orchidopexy, herniotomies, etc. And belonging to ASA Grade I and II were selected for this study for convenience. This study was conducted in Department of Anesthesia, Mahatma Gandhi Memorial Medical College, Jamshedpur, Eastsingbhum, Jharkhand from January 2016 to February 2017. RESULTS: The mean duration of analgesia was 10.30(0.89) hour in MR group compared to 5.68(0.87) hour in FR group (P, 0.0001). Subjects in MR group remained more sedated than FR group. Vomiting was observed in 12% and 9% in MR and FR group respectively. Itching was 14% and 6% in MR and FR group respectively. No hypotension, bradycardia or respiratory depression was observed in any subject. CONCLUSION: Caudal morphine 20µgs/kg in ropivacaine 0.2% provides longer duration of analgesia and sedation compared to caudal fentanyl 2µg/kg in ropivacaine 0.2%(1mL/kg) without any significant side effect in children in subumbilical surgery.
Authors and Affiliations
Dr. Pawan Kumar Dutta
Keywords
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- EP ID EP377300
- DOI 10.9790/0853-1707053235.
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