COMPARISON OF TWO DIFFERENT DOSES OF CLONIDINE WITH ULTRASOUND GUIDED CAUDAL FOR POST OPERATIVE PAIN RELIEF IN CHILDREN.

Dr.D.AMBIKAI; Dr. T.CHANDRA KUMAR

Volume : VIII, Issue : XI, November - 2018

COMPARISON OF TWO DIFFERENT DOSES OF CLONIDINE WITH ULTRASOUND GUIDED CAUDAL FOR POST OPERATIVE PAIN RELIEF IN CHILDREN.

Dr. D. Ambikai, Dr. T. Chandra Kumar

Abstract :

Caudal was performed under ultrasonogram guidance, to avoid multiple needle pricks, for reducing intravascular or intrathecal complications and for improving the success rate of assessing epidural space in the first attempt. A prospective randomized double blinded study was done to compare efficacy of two different doses of clonidine with bupivacaine using ultrasound guided caudal block in children. They were divided into 2 groupsGroup 1 : 1ml/kg of 0.25% bupivacaine +1mics/kg of clonidine Group 2 : 1ml/kg of 0.25% bupivacaine +2 mics/kg of clonidine Assessment of pain by FLACC SCALE was done at 2, 6, 8, and 10 hours postoperatively According to the study , duration of post operative analgesia was prolonged with clonidine 2 mics/kg than clonidine 1 mics/kg group with a mean of 9 hrsvs 7.1hrs , the number of doses of rescue analgesia was reduced in clonidine 2 mics/kg group as well as FLACC scale score remain statistically significant at 10 hrs between two groups .The hemodynamic parameters were well maintained in both groups , there was no incidence of respiratory depression, hypotension and adycardia. Hence Clonidine 2 mics/kg can be safely used in paediatrics as it has prolonged duration of post operativeanalgesia as well as it is devoid of side effects.