POST OPERATIVE ANALGESIA IN CHILDREN - COMPARISON OF CAUDAL ROPIVACAINE VERSUS CAUDAL ROPIVACAINE WITH TRAMADOL

Dr. Veena Arora; Dr. Neha Mishra; Dr. Umesh Uraiya; Dr. Yogendra Kumar

Volume : VIII, Issue : IV, April - 2019

POST OPERATIVE ANALGESIA IN CHILDREN - COMPARISON OF CAUDAL ROPIVACAINE VERSUS CAUDAL ROPIVACAINE WITH TRAMADOL

Dr. Veena Arora, Dr. Neha Mishra, Dr. Umesh Uraiya, Dr. Yogendra Kumar

Abstract :

Caudal analgesia is one of the most popular regional anesthetic technique employed in children Addition of tramadol to local anesthetic agents in caudal block enhances the duration of analgesia with less risk of respiratory depression. To compare stress response (heart rate, blood pressure, respiratory rate and Sp02) after epidural administration of caudal Ropivacaine and caudal Ropivacaine mixed with Tramadol. It is preoperative randomized double blind study done at L.L.R & Associated Hospitals, Kanpur from December 2010 to July 2012 after being approved by ethical committee of the institution. The study included 60 children, of either sex, age group of 5–10 years, ASA grade I and II posted for elective infra–umbilical surgeries. Patients were randomly divided into two groups of 30 each: A 0.2% ropivacaine and B 0.2% ropivacaine(2mg/kg)+ tramadol(2mg/kg). Patients were given general anesthesia followed by caudal block in left lateral Sim‘s position under strict aseptic condition Quality of block and hemodynamic parameter were recorded at 5, 10, 15, 30 min and 1, 2, 3, 4, 6, 12 and 24hrs following recovery. Post operative analgesia assessed using CHEOPS scale at 5, 10, 15, 30 min. And 1, 2, 3, 4, 6, 12, 24hrs following recovery. All demographic variables were comparable student‘s unpaired t–test for continuous variables and chi–square test for categorical variables. It is concluded that addition of tramadol to ropivacaine is found to be superior in providing post operative analgesia in comparison to the use of ropivacaine 0.2% alone