Intra-Operative Efficacy of General Anaesthesia vs General Anaesthesia with Paediatric Epidural Anaesthesia: A Clinical Comparative Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 1
Abstract
Paediatric epidural anaesthesia (PEA) is very safe and effective and in combination withGeneral anaesthesia (GA) offers the advantages of reduced GA drugs, stable haemodynamics and excellent analgesia extended into the post-operative period. Aims: To evaluate the efficacy of GA+PEA in comparison to GA with regard to (i) Haemodynamic parameters (ii) dose requirement of Neuromuscular Blocking Agents (NMB) (iii) Quality of surgical relaxation. Material and Methods: 80 children of ASA statusI & II (2 to 12 yrs), scheduled for elective surgeries were randomly assigned to GA or GA+PEA groups. Both the groups received routine GA. In GA+PEA, an epidural catheter was inserted and Bupivacaine 0.25% was administered intra-operatively. Haemodynamic parameters, doses of NMB and quality of surgical relaxation (graded by surgeon) were recorded. Statistical Analysis: Chi-square test, student-t test and repeated measures ANOVA test were used to analyse categorical, demographic and haemodynamic parameters respectively. A p-value<0.05 was considered significant. Results: Rise in heart rate(HR) and mean arterial pressure (MAP) from base-line was significantly lower in GA+PEA with p value of 0.017 and <0.001 respectively. Doses of NMB agents required in GA+PEA were significantly lower with p value <0.001. The grading of quality of surgical relaxation was same in both the groups. Conclusion: GA+PEA is more favourable for patients with regard to stable haemodynamics, reduced requirement of NMB agents with equally good surgical relaxation when compared to GA alone.
Authors and Affiliations
Uma B. R.
Keywords
Related Articles
- EP ID EP529589
- DOI 10.21088/ijaa.2349.8471.5118.14
- Views 86
- Downloads 0
Comparison of Tramadol and Butorphanol as Adjuncts to Lignocaine for Intravenous Regional Anaesthesia for Upper Limb Surgeries
Background: The use of adjuncts with local anaesthetics improve the quality of sensory block and prolong the postoperative analgesia in Intravenous Regional Anaesthesia (IVRA). Material and Methods: Ninety adult American...
Comparative Evaluation of Intraocular Pressure after Various Intravenous Inducing Agents
Background: General anaesthesia has effects on various systems including intraocular pressure (IOP). Anaesthetic drugs also lead to changes in IOP. Though rare, IOP measurement is important as acute glaucoma is a major c...
Comparative Analysis of Bupivacaine and Ropivacaine during Epidural Analgesia
IASP defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of the actual damage.” This definition embraces various concepts especially the...
A Comparative Study of Caudal Analgesia with Bupivacaine Alone and Bupivacaine with Butorphanol in Pediatric Surgeries
Introduction: The assessment of pain in small children is often difficult to interpret as the most common sign of pain is crying which is also seen in a myriad of non pain full conditions. Epidural space in children favo...
Preemptive Antiemesis using Intravenous Ondansetron to Control Intrathecal Morphine Induced Nausea and Vomiting
Morphine is an opioid and its intrathecal use for postoperative pain relief is well documented. Nausea and vomiting are the common adverse effects with intrathecal morphine and might be distressing in patients undergoing...