Comparative Study of Levobupivacaine and Levobupivacaine with Tramadol in Pediatric Caudal Epidural Block
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: Caudal block is the regional anesthetic technique that is used most frequently in pediatric surgery, and bupivacaine and levobupivacaine are widely utilized in this technique. Opioid drugs have been added to local anesthetic solutions to prolong the duration of analgesia, but ideal combination was not found. Aim: The aim is to study the post-operative analgesic effects and other effects of tramadol when added to caudal levobupivacaine as an adjunct in children undergoing lower abdominal surgeries. Materials and Methods: ASA I and II patients between 2 and 6 years of age undergoing lower abdominal surgeries were included in the study. Group LT (n = 30) received caudal 0.25% levobupivacaine 1 ml/kg with tramadol 2 mg/kg making the volume to 0.5 ml and Group L (n = 30) received caudal 0.25% levobupivacaine 1 ml/kg + 0.5 ml normal saline. Results: The duration of post-operative analgesia recorded a mean of 5.5 ± 1.05 h in group L compared with 13.5 ± 2.3 h in Group LT, with a P < 0.0001. The dosage of paracetamol consumed was greater in the L group and is statistically significant with a P < 0.0001. The difference of mean sedation score between both groups was statistically insignificant (P > 0.05). No episodes of clinically significant post-operative complications such as post-operative nausea and vomiting, respiratory depression, urinary retention, pruritus, hypotension, and bradycardia were observed. Conclusion: Levobupivacaine with tramadol provided effective post-operative analgesia with minimal side effects.
Authors and Affiliations
T Manoharan, R Selvarajan, Vivek Vivian, Heber Anandan
Keywords
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