COMPARISON OF POST-OPERATIVE ANALGESIC EFFICACY OF CAUDAL BLOCK VERSUS DORSAL PENILE NERVE BLOCK WITH BUPIVACAINE AND TRAMADOL FOR CIRCUMCISION IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 42
Abstract
BACKGROUND Circumcision is a painful intervention, frequently performed in paediatric surgery. We aim to compare the effects of penile block versus caudal block using bupivacaine with tramadol for circumcision to evaluate post-operative analgesia. MATERIALS AND METHODS This randomised controlled trial study was conducted on 60 healthy boys aged 1 - 7 years of American Society of Anaesthesiologist (ASA) class-1, scheduled for circumcision under general anaesthesia. The patients were randomly divided into two equal groups: Group P (penile block, 0.25% bupivacaine with tramadol 1 mg/kg, 0.5 mL/kg, n= 30) and Group C (caudal block, 0.25% bupivacaine with tramadol 1 mg/kg, 0.5 mg/kg, n= 30). Post-operative pain is evaluated by the FLACC pain score and time to first rescue analgesic request as well as total doses of analgesic requirements were recorded. RESULTS The mean duration of analgesia was 22 +/- 4.45 hrs. in Group P, while in Group C it was 11 +/- 2.75 hrs. (p= 0.0001). No significant difference was observed in incidence of haemodynamic changes or no side effect observed. Total analgesic requirement was also significantly low in Group P than Group C. CONCLUSION DPNB (bupivacaine with tramadol) for circumcision provides longer post-operative analgesia than caudal (bupivacaine with tramadol) without significant increase in rate of adverse effect.
Authors and Affiliations
Rupal Kapadia, Palakben Parikh, Ajay G. Prajapati, Bhargav Trivedi, Nishita K. Mistry
Keywords
Related Articles
- EP ID EP548461
- DOI 10.14260/jemds/2018/1000
- Views 108
- Downloads 0
CLINICOPATHOLOGICAL STUDY OF NASAL MASS- A TERTIARY CARE HOSPITAL BASED STUDY
BACKGROUND The nose is the most prominent feature of the face and often catches the attention of the onlookers whenever it is deformed or altered in shape. Frequently patients attend ENT clinic with complaints of nasal o...
UNUSUAL CASE OF ANGIOSARCOMA OF LIVER PRESENTING WITH PULMONARY METASTASIS IN A YOUNG GIRL
A 12-year-old female child named Avanika Singh got admitted in our institute with chief complaints of abdominal pain for 3 weeks and haematemesis for 1 week duration. She attained menarche in July 2016, following which s...
THE CROSS-SECTIONAL STUDY OF PAEDIATRIC CHOLESTEATOMA
Chronic suppurative otitis media is a very common problem in our country, particularly in rural population. Cholesteatoma is seen in atticoantral type of chronic suppurative otitis media. In children cholesteato...
PHOSPHATURIC MESENCHYMAL TUMOUR ASSOCIATED WITH OSTEOMALACIA: A CASE REPORT
Phosphaturic mesenchymal tumour is a tumour that can involve bone or soft tissue. This is a rare tumour and is known to be associated with osteomalasia. This is caused by tumour induced expression of fibroblas...
LARGE RETROPERITONEAL ABSCESS- DIAGNOSTIC DILEMMA BUT SUCCESSFUL MANAGEMENT- A CASE REPORT
PRESENTATION OF CASE History of Present Illness A 65-year-old gentleman was admitted on 22-02-2018 with chief complaints of intractable diarrhoea with abdominal distension, fever with low back pain and painful right ingu...