Caudal anaesthesia in paediatric patients: Comparison of analgesic efficacy between ropivacaine and bupivacaine
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
Background: In paediatric regional analgesia, caudal epidural technique is safe and commonly performed procedure for intra and postoperative analgesia especially for subumbilical surgeries. Bupivacaine has proved its efficacy in producing long lasting analgesia whereas Ropivacaine also provides similar type of pain relief and is less cardiotoxic than bupivacaine so good for caudal epidural analgesia. Aim: to compare an equal volume of bupivacaine and ropivacaine for caudal analgesia in paediatric patient undergoing subumbilic surgeries. Material and Methods: Sixty cases, in the age group of 2 to 10 years were randomly divided in to two equal groups, Group A (received 0.25% Ropivacaine -1 ml/kg body weight) and Group B (received 0.25% Bupivacaine -1 ml/kg body weight) via caudal route. Block was performed after induction of anaesthesia. Results: There were no significant differences between the two groups in base line parameters. Duration of analgesia for group A was hrs and 5.92 ±1.24 Hrs that for group B was 6.17 ± 1.1 hrs. There was no significant difference in duration of analgesia in two groups. Conclusion: Caudal Ropivacaine provides effective postoperative analgesia, similar to Bupivacaine in paediatric patients
Authors and Affiliations
Laxman Bhagwanrao Poulkar, Vaishnavi V Kulkarni, Pushpa I Agrawal
Keywords
Related Articles
- EP ID EP260996
- DOI -
- Views 204
- Downloads 0
A prospective randomised comparison of nasogastric tube insertion of two different techniques in anesthetised intubated patients
Background: Nasogastric tube (NGT) insertion is indicated almost routine procedure in patients undergoing below diaphragmatic surgery to decompress the stomach perioperatively. Insertion of NG Tin an naesthetised, intuba...
Comparative study of intrathecal isobaric levobupivacaine 0.5% with isobaric ropivacaine 0.5% for infra umbilical surgeries
Objective: To compare the block characteristics and haemodynamic stability of intrathecal isobaric levobupivacaine 0.5% with isobaric ropivacaine 0.5% for infra umbilical surgeries under spinal anaesthesia. Method: 100 p...
Effects of Dexamethasone as an adjuvant to local anaesthetic in brachial plexus block through supraclavicular route
Background: Supraclavicular brachial plexus block is most commonly preferred anaesthesia for upper limb orthopaedic surgeries. Various adjuvants to local anaesthetics were studied to prolong the duration of analgesia of...
Unilateral spinal anaesthesia: An alternative and effective approach in infra-umbilical surgeries in geriatric population
Background: Spinal anaesthesia is simple, easy to administered and reliable cost-effective technique that has been widely used for infra-umbilical surgery. For day care surgical treatment of infra-umbilical origin on one...
Comparison of the ultrasound guided technique versus the traditional blind anatomical landmark technique for the placement of central venous catheter in the internal jugular vein
Background: Internal jugular venous access is an essential part of patient management in many clinical settings. In the traditional technique, rates of major and minor complications can be as high as 10%. Ultrasound guid...