A RANDOMISED, DOUBLE-BLIND, PROSPECTIVE STUDY OF CAUDAL ROPIVACAINE VERSUS ROPIVACAINE WITH FENTANYL VERSUS ROPIVACAINE WITH NEOSTIGMINE FOR COMBINED EPIDURAL AND GENERAL ANAESTHESIA IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 44
Abstract
BACKGROUND There are no studies comparing the outcomes of using Fentanyl or Neostigmine as adjuvants to Ropivacaine in terms of postoperative analgesia for paediatric caudal block. The aim of our study is to compare the outcomes of using Ropivacaine 0.2% vs Ropivacaine 0.2% with Neostigmine 2 mcg/kg vs Ropivacaine with Fentanyl 1 mcg/kg as a single shot caudal block on postoperative analgesic effect in children aged 3 - 8 yrs. undergoing subumbilical surgeries. MATERIALS AND METHODS This is a double-blind, randomised, controlled, prospective study. Our study included 60 paediatric patients undergoing elective lower abdominal surgeries at Rajiv Gandhi Institute of Medical Sciences, Srikakulam, Andhra Pradesh. RESULTS The patient groups were comparable with respect to age and weight. The mean pain scores at 24 hrs. in R, RF and RN groups are 3.05 ± 0.6, 2 ± 0.5, 2.65 ± 0.67 respectively with a p-value of 0.008, which is statistically significant. The duration of analgesia in R, RF and RN groups are 383, 353 and 680.5 mins. respectively with a p-value of ˂ 0.05, which is statistically significant. CONCLUSION We conclude in the present study that the addition of neostigmine to caudal Ropivacaine resulted in prolongation of duration of analgesia, while a Ropivacaine and Fentanyl mixture did not cause any statistically significant increase in the duration of analgesia.
Authors and Affiliations
Manem Prasad Rao, Soumya Panickessery Babu, Patta Saroj
Keywords
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- EP ID EP216774
- DOI 10.14260/Jemds/2017/748
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