Ketamine and levobupivacaine versus levobupivacaine alone for post operative analgesia and side effects in lower abdominal surgeries in children – A comparative study
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 10
Abstract
Background: Different additive drugs such as opioids, epinephrine, clonidine, and neostigmine have been used along with local anaesthetics to improve the duration and quality of analgesia. Few studies have demonstrated the increase of efficacy in various aspects after combining dexmedetomidine and ropivacaine and dexmedetomidine to caudal bupivacaine in pediatric major abdominal cancer surgeries. Objectives: The present study was designed to compare the duration of postoperative analgesia and the incidence of any side effects of single-dose caudal levobupivacaine with ketamine versus levobupivacaine alone in childrens undergoing lower abdominal surgeries. Materials and methods: A total of 50 pediatric patients, 2–4 years of age, were included in the study. They were divided into two groups: group A (n = 25) received levobupivacaine, whereas group B (n = 25) received ketamine with levobupivacaine. Postoperative duration of analgesia and postoperative complications were recorded in all the childrens. Results: The duration of postoperative analgesia was longer in group B than in group A, which was statistically significant. Few postoperative complications were recorded in group B. Conclusion: Combination of ketamine with levobupivacaine by caudal epidural administration produced an additive analgesic effect with few side effects when compare to levobupivacaine alone.
Authors and Affiliations
Mohan K, Mohana Rupa L
Keywords
Related Articles
- EP ID EP501815
- DOI -
- Views 149
- Downloads 0
Study of epidemiology of road traffic accidents
Background: Road traffic accidents (RTAs) have emerged as an important public health issue which needs to be tackled by a multi-disciplinary approach. The trend in RTA injuries and death is becoming alarming in countries...
A study of 50 cases of Organophosphorus poisoning and its complications
Background: In developing countries, the widespread use of organophosphorus compounds (OPCs) has been accompanied by increasing incidence of poisoning with these agents, both suicidal and accidental. This is attributed m...
Association between Tpeak-Tend interval/ QT interval (Tp-e/QT ratio) and prognosis in patients with acute pulmonary embolism
Background: Risk stratification of patients with acute pulmonary embolism (PE) allows assessment of individual prognosis and guides therapeutic decision making. Several electrocardiographic (ECG) markers measuring the ar...
Ovarian tumors - Incidence and histopathological spectrum in tertiary care center, Valsad
Introduction: Ovarian tumors are now the one of the leading cause of death involving a wide spectrum of clinical, morphological and histopathological diagnosis. It frequently does not result in symptoms until the tumor h...
Retrospective study of fine needle aspiration cytology of clinically palpable breast lump
Introduction: Breast carcinomas are one of the leading causes of cancer in women. Fine Needle Aspiration Cytology (FNAC) is one of the important tools for the pre-operative diagnosis of breast lesions. Materials and meth...