Comparative study on efficacy of caudal bupivacaine and ropivacaine in providing postoperative pain relief in children
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 2
Abstract
Background: Pain is an unpleasant subjective sensation which can only be experienced and not expressed, especially in children. Pain relief is even more important in children who rely on their parents or caregivers for their well-being. The concept of postoperative pain relief and its use in the pediatric age group has improved dramatically over recent years. Aim of the study: The objectives of the study were to compare the efficacy of caudal Bupivacaine and Ropivacaine to provide post-operative pain relief in children and also to compare the motor block and hemodynamic effects caused by them in the pediatric population. Methods: In a randomized, prospective, parallel group, double-blinded study, 50 children were recruited and allocated into two groups: Group B (n=25) received 0.25% Bupivacaine 1ml/kg and Group R (n=25) received 0.2% Ropivacaine 1ml/kg. Induction of anesthesia was achieved with 50% N20 and 8% Sevoflurane in oxygen in spontaneous ventilation. An appropriate sized LMA was then inserted and a caudal block performed in all patients. Peri-operative hemodynamic parameters were monitored. The pain was assessed with Face, Legs, Activity, Cry and Consolability (FLACC) pain score and degree of motor blockade was assessed with Bromage scale. Results: Group B patients achieved a statistically significant higher Bromage score compared with Group R patients (p<0.001). The quality and duration of analgesia were comparable between both the groups. The peri-operative hemodynamics were stable and comparable between both the groups. Conclusion: Caudal Ropivacaine 0.2% (1ml/kg) provides effective postoperative analgesia similar to caudal Bupivacaine 0.25%(1ml/kg) and less motor blockade as compared to Bupivacaine, making it a suitable agent for day care surgery with an increased safety margin in younger children.
Authors and Affiliations
C Sankaran, Aldona Shaji
Keywords
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- EP ID EP616665
- DOI 10.26611/101510214
- Views 187
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