0.25%Levobupivacaine versus 0.25% Ropivacaine for caudal Epidural Analgesia In Peadiatric Patients- Comparison of recovery from motor blockade and post operative analgesia

Dr. Niranjan Kumar Anbazhakan; Dr. Venkatesan Gnanaganesh

Volume : IX, Issue : III, March - 2019

0.25%Levobupivacaine versus 0.25% Ropivacaine for caudal Epidural Analgesia In Peadiatric Patients- Comparison of recovery from motor blockade and post operative analgesia

Dr. Niranjan Kumar Anbazhakan, Dr. Venkatesan Gnanaganesh

Abstract :

Caudal block is one of the most commonly performed regional blocks in children. Many new local anaesthetics were tried in caudal. We made a comparison between the effectiveness of (0.25%) of ropivacaine and levobupivacaine in children undergoing minor subumbilical surgery Aim: The aim of the present study was to compare equal concentrations (0.25%) of ropivacaine and levobupivacaine in children undergoing minor infraumbilical surgeries. Methodology: The Prospective, randomized, double–blinded comparative study was conducted in 60 children belonging to ASA 1 and 2,of either sex, aged between 1–10 years undergoing elective surgery in the Paediatric surgery department in Stanley medical College..Following induction of anesthesia, patients (1–10 years) were randomized in a double–blind manner to receive a caudal block with either ropivacaine 0.25% (group R, 30) or levobupivacaine 0.25% (group L, 30), total volume 1 milligram per kg bodyweight. Post operative Motor blockade (Motor power scale)and Analgesia (modified Hannallah Pain Scale) were assessed at predetermined time points during the first 24–postoperative hours. Results:The groups were comparable for age, sex, weight, height, vital signs, duration and type of surgery. The duration of postoperative pain relief between the groups is not statistically significant (p> 0.05).The time for full motor recovery were similar in both ropivacaine and levobupivacaine group. Conclusion:Our study concluded that both ropivacaine and levobupivacaine are equally effective for Caudal block in children undergoing infra umbilical surgery.