Caudal Ropivacaine with Clonidine as Adjuvant In Infra- Umbilical Pediatric Surgeries for Intra-Operative And Post- Operative Analgesia: An Observational Clinical Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Background: The aim of the study was to assess the efficacy of ropivacaine with clonidine as an adjuvant given via single shot caudal epidural in pediatric patients for intraoperative and postoperative pain relief. Materials and Methods: In this study, 30 children of ASA-I-II, aged 1-6 years scheduled for infra-umbilical surgical procedures were given ropivacaine 0.125% 1 ml/kg + clonidine 1μg/kg as single shot caudal epidural analgesia. Caudal block was performed after the induction of generalanesthesia. Postoperatively patients were observed for analgesia, sedation, hemodynamics, and side effects/complications. Results: All the patients exhibited stable hemodynamics. There was good intraoperative and postoperative analgesia. No patient required intraoperative rescue analgesic. Side effects such as respiratory depression, vomiting, bradycardia, hypotension, residual motor blockade, pruritus were statistically insignificant. Conclusions:Ropivacaine with clonidine has prolonged duration of analgesia after single shot caudal epidural administration. This combination offers some advantages as it does not produce clinically and statistically significant undesirable side effects like respiratory depression, vomiting and bradycardia. So we can use clonidine as adjuvant to ropivacaine in caudal analgesia, in children, as it has a more favorable side effect profile.
Authors and Affiliations
Vinod Kumar Verma, Chandrakant Prasad, Arvind Kumar, Gunjan Kumar, Rajesh Kumar
Keywords
Related Articles
- EP ID EP589433
- DOI 10.9790/0853-1601067579
- Views 61
- Downloads 0
A Comparative Studyof Peripheral Blood SmearsandRapidDiagnostic Testsinthe Diagnosisof MalariaataTertiary Health Care Hospitalin Agra.
The aim of the study wasto compare the effectiveness of Rapid Diagnostic Test (RDT) and microscopy, in detection of malaria parasite, among suspected patients of malaria from S.N. Medical College, Agra.During February to...
Comparative Study Between Evening Primrose Oil And Ormeloxifene in mastalgia
INTRODUCTION : Mastalgia accounts for about 50 % of the benign breast . A number of drugs have been introduced in the treatment of mastalgia ,still debate continues about the drug of choice. MATERIAL & MTHODS : This was...
Clinical Profile Of Amblyopia In A Tertiary Health Care Centre In Central India
Introduction: Amblyopia is major cause of blindness in world. It is functional reduction in visual acuity of an eye during critical period of visual development. Most sensitive period for development of amblyopia is from...
Utility of compatible non identical blood components in transfusion services
Background: By means of component therapy, it is wise to provide the component which is required and keep the remaining components for other patients. Here compatible ABO non identical components (CC) are the need of the...
Radiological Assessment of Bone Morphology For Implant Treatment Planning: A Multidetector Computed Tomography Approach
During last 15 years, Osseo integrated dental implants have significantly changed dental rehabilitation sciences. To assess these patients pre & post operatively, CT software programmes like Dentascan ( GE medical System...