A comparative study of caudal anesthesia with bupivacaine v/s bupivacaine with dexmedetomidine in lower abdominal surgeries in pediatric age group

Authors

  • Kishore Kumar N. D. Y. Patil Medical College, D. Y. Patil Education Society (Deemed University). Kolhapur, Maharashtra, India
  • Sandeep Kadam D. Y. Patil Medical College, D. Y. Patil Education Society (Deemed University). Kolhapur, Maharashtra, India

DOI:

https://doi.org/10.31636/pmjua.v6i3.3

Keywords:

bupivacaine, dexmedetomidine, hemodynamics, postoperative pain

Abstract

Background: caudal anaesthesia has short­term effect. Alpha­2 adenoreceptors when used as adjuvant to local anaesthetic in children prolongs analgesic duration. The study is aimed to assess the efficacy of addition of dexme­detomidine with Bupivacaine in caudal block for extending postoperative analgesia and its safety profile in pediatric infra­umbilical surgeries.
Method: the prospective interventional longitudinal double blinded study was conducted on 60 patients randomly divided into two groups by simple lottery method: group B who received (0.25 %) bupivacaine 1 ml/kg plus 1 ml nor­mal saline (NS), and those in group BD who received (0.25 %) bupivacaine 1 ml/kg plus 0.5 μg/kg dexmedetomidine in 1 ml NS. Post­surgery, both groups were compared in R studio v1.2.5001. Association between the adverse effect and other variables (age, gender, type of surgery, groups) were assessed by Multiple linear regression.
Results: in group BD, duration of analgesia prolonged significantly (P < 0.05). In group BD, FLACC score at initial four hours and at 12th hour was significantly less (P < 0.05). Group B was more likely to receive high number of rescue analgesia (P = 0.0005; OR = 11.769). No significant difference was observed concerning hemodynamics, respiratory parameters and adverse effect between both groups (P > 0.05).
Conclusion: in children, dexmedetomidine when used along with bupivacaine prolongs postoperative analgesia du­ration, without any significant side effects.

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References

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A comparative study of caudal anesthesia with bupivacaine v/s bupivacaine with dexmedetomidine in lower abdominal surgeries in pediatric age group

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Published

2021-11-15

How to Cite

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Kumar N. K, Kadam S. A comparative study of caudal anesthesia with bupivacaine v/s bupivacaine with dexmedetomidine in lower abdominal surgeries in pediatric age group. PMJUA [Internet]. 2021 Nov. 15 [cited 2021 Dec. 8];6(3):25-9. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/268

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