Post-Operative Analgesia in Children: A Comparison between Caudal Bupivacaine with Buprenorphine and Caudal Bupivacaine with Rectal Diclofenac
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 2
Abstract
Background: Relief of post-operative pain is provided traditionally by single drug regimens but combinations of different regimens have been suggested to be more rational and effective. Rectal administration of NSAIDs in children is a safe and convenient route of drug absorption. The present study was designed to compare the efficacy and safety of caudal bupivacaine (0.125%) either with buprenorphine (4µg/ml) or with rectal diclofenac suppository (2.5 mg/kg). Material & Methods: The present study was carried out on 50 children in the Department of Anaesthesiology and critical care at the attached group of hospitals, Dr. S.N. Medical college, Jodhpur. The randomly selected children belonging to either sex were allocated to two groups, each group consisted of 25 children. Routine monitoring of every child included precordial stethoscope, ECG, NIBP, SpO2 through pulse oxymeter and temperature. After surgery the children were transferred to recovery ward and were observed up to 1 hour and then in post-operative ward at 1, 4, 6, 12, 24 hours. Results: Our study showed that the mean age of patients in group A was 4.78±2.446 yrs and group B was 5.240±2.521 yrs, it was not statistically significant (P>0.05) and mean values of weight and duration of surgery were also not statistically significant (P>0.05 respectively). At 6 hours of observation one patient in group A and 2 patients in group B demanded for rescue analgesia. At 12 hours of observation 4 patients from both groups demanded for rescue analgesia. Conclusion: We concluded that caudal bupivacaine 0.125% in a dose of 1 ml/kg with rectal diclofenac Na suppository in a dose of 2.5 mg/kg just after induction of anaesthesia provides equivalent analgesia up to 24 hour in postoperative period with minimum side effects and lesser incidences of nausea and vomiting, sedation, time taken to void urine, in comparison to caudal bupivacaine in the same dose along with buprenorphine.
Authors and Affiliations
Dr Anita Harsh
Keywords
Related Articles
- EP ID EP506143
- DOI -
- Views 109
- Downloads 0
Gall bladder Cancer Incidence Trend over the time period in Bengaluru Population Based Cancer Registry (1982-2012)
Abstract Background: Gall Bladder cancer has emerged as one of the frequent cancer among men and women in Bengaluru, with incidence increasing rapidly over the past two decades. Incidence has also been increasing in some...
Surgical Management of Fracture Shaft of Humerus in Adults Using Flexible Nails – By Retrograde Technique
Background and Objective: The fractures of the shaft of humerus are one of the commonest fractures found and can be treated by different methods. The present study is undertaken to know the functional outcome following t...
Study of In-Patient Costing at a Tertiary Care Teaching Hospital of North India
By understanding the costs of various activities, managers can improve the efficiency of hospital departments, as well as hospital system as a whole. Hospital management has a responsibility to the community to provide h...
Prevalence of Anemia and Its Causative Factors among Dental Undergraduate Students In A Dental College In South India
A healthy diet defines life in terms of sustainability and longevity. Nutrition forms an integral part of a healthy life style.1without a nourishing diet, it is impossible to perform for an individual. It not only affect...
Association of Ovarian Cancer Risk with Other Gynaecological Diseases in Women- An Observational Study
Background: The most lethal malignancy of the female reproductive system is ovarian cancer. Risk of ovarian cancer increases with age, but the rate of increase slows after the menopause. Several factors have been reporte...