A COMPARISION OF POST OPERATIVE ANALGESIC EFFICACY OF SINGLE DOSE CAUDAL EPIDURAL BETWEEN ROPIVACAINE AND BUPIVACAINE IN INFRAUMBILICAL SURGERIES IN CHILDREN

Dr. Sasmita Soren; Dr. Barun Ram; Dr. (Prof.) Usha Suwalka

Volume : VIII, Issue : IV, April - 2019

A COMPARISION OF POST OPERATIVE ANALGESIC EFFICACY OF SINGLE DOSE CAUDAL EPIDURAL BETWEEN ROPIVACAINE AND BUPIVACAINE IN INFRAUMBILICAL SURGERIES IN CHILDREN

Dr. Sasmita Soren, Dr. Barun Ram, Dr. Prof. Usha Suwalka

Abstract :

Background and Aims: Caudal epidural analgesia is commonly used regional block in children undergoing infra-umbilical surgeries. The aim of this study was to observe and compare the analgesic efficacy & side effects of 0.25% Bupivacaine 0.5 ml/kg and equal volume of 0.2% Ropivacaine for caudal analgesia in paediatric patients with infra-umbilical surgeries. Methods: In a randomised, prospective, study, fifty children (1–6 years) belonging to American Society of Anaesthesiologists� physical status I or II scheduled for infra-umbilical surgeries were included. Patients were allocated by random number table in two groups of 25 patients each to receive inj. bupivacaine (group A) or inj. ropivacaine (group B) for caudal block . The primary outcome was the duration of analgesia. Results: The mean duration of analgesia was 194.16 � 19 min in Group A, while in Group B, it was 196.32 � 19.66 min. There was no significant difference of analgesic efficacy between bupivacaine and ropivacaine. No significant difference was observed in the incidence of haemodynamic changes or side effects. Conclusion: Ropivacaine (0.2%) administered through caudal epidural route provides similar duration and quality of postoperative analgesia compared to Bupivacaine (0.25%).Due to less motor blockade it can be used in day care surgery.