EFFICACY OF CLONIDINE AS AN ADJUVANT TO BUPIVACAINE FOR CAUDAL ANALGESIA IN CHILDREN UNDERGOING SUB UMBILICAL SURGERY

Dr. Ashwini D Rane

Abstract


Study is done on caudal  epidural  block  using bupivacaine alone and  bupivacaine with  clonidine combination was conducted  in 60  children in the  age  group  of 1 to 8 years of ASA grade I and II coming for various elective sub-umbilical surgeries which include herniotomy , circumcision,orchidopexy, perineal surgeries.Theywere divided into two groups of 30 each. Group A received caudal bupivacaine 0.25% (1ml/kg). Group B received caudal bupivacaine 0.25% (1ml/kg) with clonidine (1μg/kg).The main parameters studied were hemodynamic changes, duration of post- operative analgesia and incidence of side-effects. Both the groups were comparable with respect to age, sex and weight distribution. Post-operative analgesia was assessed by using Paediatric Objective Pain scale.The mean duration of post-operative analgesia was 252 ± 40.7 min in group A and 433.5 ± 60.2 min in group B, thereby reducing the requirement of analgesics in group B in the post-operative period.There was no significant difference between the two groups with respect to haemodynamic parameters.


Keywords


caudal, bupivacaine, clonidine, children

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