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ORIGINAL ARTICLE
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 29-32

Caudal Ropivacaine With Clonidine as Adjuvant for Intraoperative and Postoperative Analgesia in Pediatric Patients Undergoing Infraumblical Surgery: A Prospective Analytical Clinical Study


1 Professor, Department of Anaesthesiology & Critical Care Medicine, IGIMS, Patna, India
2 Junior Resident, Department of Anaesthesiology & Critical Care Medicine, IGIMS, Patna, India
3 Associate Professor, Department of Anaesthesiology & Critical Care Medicine, IGIMS, Patna, India

Correspondence Address:
Arvind Kumar
Associate Professor Dept. of Anaesthesiology, IGIMS, Patna, Bihar
India
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Source of Support: None, Conflict of Interest: None


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Background: The aim of the study was to assess the efficacy of ropivacaine with clonidine given as single shot caudal epidural in pediatric patients undergoing infraumblical sugary for intraoperative and postoperative pain relief. Materials and Methods: In this study, 30 children of ASA-I-II, aged 1-6 years scheduled for infraumblical surgical procedures were given ropivacaine 0.125% 1 ml/kg + clonidine 1μmg/kg as single shot caudal epidural analgesia. After induction of general anaesthesia Caudal block was performed. Patients were observed in postoperative ward for relief of pain, sedation, hemodynamic and any adverse effects or complications. Results: All the patients exhibited stable hemodynamics. There was good intraoperative and postoperative analgesia. No patient required intraoperative rescue analgesic. Adverse effects like respiratory depression, vomiting, bradycardia, hypotension, residual motor blockade, pruritus were statistically insignificant. Conclusions: Ropivacaine with clonidine has prolonged duration of analgesia after single shot caudal epidural administration. This combination has not clinically and statistically significant adverse effects. So ropivacaine with clonidine can be used as caudal analgesia in children.


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