Enhancement of bupivacaine caudal analgesia by using dexamethasone or clonidine in children undergoing subumbilical surgery
Background and aims Caudal analgesia produces profound intraoperative, as well as postop erative analgesia, with minimal psychological alteration in children. Because of its short duration, various additives have been used to prolong the duration of analgesia. The present study aimed to evaluate the...
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Published in | Ain-Shams Journal of Anaesthesiology Vol. 9; no. 2; pp. 274 - 279 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Cairo, Egypt
Ain Shams University, Faculty of Medicine, Department of Anesthesiology
01.04.2016
Wolters Kluwer - Medknow Publications Medknow Publications and Media Pvt. Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Background and aims
Caudal analgesia produces profound intraoperative, as well as postop erative analgesia, with
minimal psychological alteration in children. Because of its short duration, various additives
have been used to prolong the duration of analgesia. The present study aimed to evaluate the
effect of adding dexamethasone and clonidine to bupivacaine in caudal analgesia for children
undergoing subumbilical surgeries.
Patients and methods
We conducted a prospective, randomized, single-blinded study on 100 patients of either sex
belonging to the American Society of Anesthesiologists’ physical status I, II in the age group
1–12 y ears, and undergoing subumbilical surgery under general anesthesia, were enrolled.
Written informed consent was obtained from their parents. Patients were randomly divided
into two groups (group D and C). Group D received 1 ml/kg of 0.25% bupivacaine with 0.2 mg/
kg of dexamethasone in normal saline and group C received 1 ml/kg of 0.25% bupivacaine
with 1 μg/kg of clonidine in normal saline, with maximum volume of 12 ml in both the groups.
All patients were assessed intrao peratively for hemodynamic changes and requirement of
sevofl urane concentration and postoperatively for pain by using FLACC pain score and for
sedation by using four-point sedation score.
Results
The mean duration of analgesia was 18–24 h in group D, whereas in group C it was 12–15
h. Group C had a higher sedation score up to 2 in immediate postoperative period for 1 h
compared with below 1 h in group D.
Conclusion
Postoperative analgesia is longer with dexamethasone compared with clonidine without any
side e ffects. |
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ISSN: | 1687-7934 2090-925X |
DOI: | 10.4103/1687-7934.182268 |