ISSN: 2265-6294

A Comparative Clinical Study Of Bupivacaine 0.25% With Clonidine And Ropivacaine 0.25% With Clonidine In Paediatric Caudal Block For Below Umblical Surgery

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Elisha Paikray,Vedvyas Mishra,Anima Rout,Kallola Kumar Jena,Vedvyas Mishra

Abstract

Background: Pain Is "An Unpleasant Sensory And Emotional Experience Related With Present Or Potential Tissue Damage Or Described In Terms Of Such Damage,'' According To The International Association For The Study Of Pain (IASP). Due To The Belief That Children Do Not Perceive Pain, Do Not React To Or Recall Unpleasant Events, They Have Received Inadequate Treatment For Pain And Painful Treatments. Hence There Was An Unfortunate Tendency To Ignore The Need For Analgesia During Painful Procedures And Even During And After Surgery. This Prompted The Current Research, Which Aimed To Examine The Duration Of Analgesia After Administering Equivalent Volumes Of Bupivacaine And Ropivacaine With Clonidine As An Adjuvant For Paediatric Caudal Block And Evaluate Their Safety And Effectiveness. This Prospective Open Label Observational Study Was Conducted After Getting Permission From The Institutional Ethics Committee. The Study Was Done At Anaesthesiology Department Co-Operation From The Department Of Paediatric Surgery Of A Tertiary Teaching Care Hospital Of Eastern India For A Period Of 2 Years. 60 Children, Satisfying The Inclusion Criteria Were Divided Into Two Groups Consisting Of 30 Each. GROUP I Received 0.25% Bupivacaine 0.5ml/Kg+ 1 µg/Kg Clonidine, Whereas GROUP II Received 0.25% Ropivacaine 0.5ml/Kg+ 1 µg/ Res Militaris, vol.13, n°1, Winter-Spring 2023 3317 Results: The Difference In Duration Of Analgesia Between The Two Groups Is Statistically Significant (P<0.001). Conclusions: 0.25% A Combination Of 0.5ml/Kg Bupivacaine And 1microgram/Kg Clonidine Is Preferable To 0.25% Bupivacaine Alone. Short Surgical Procedures, Such As A Circumcision, Can Be Managed With Ropivacaine 0.5 Ml/Kg And Clonidine 1 Microgram/Kg.

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