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- Title
Caudal block using Ketamine with Bupivacaine and Bupivacaine alone for post-operative analgesia in Paediatric inguino-scrotal surgeries.
- Authors
Naz, Umbrin; Ilyas, Muhammad; Sifatullah, Ambareen; Hassanain, Sayed Shah; Bangash, Robina; Javaid, Zaid; Khan, Parhaizgar
- Abstract
Background:Caudal block is a common technique for pediatric analgesia, but with the disadvantage of short duration of action of bupivacaine aft er single injection. Caudal ketamine could off er signifi cant analgesic benefi ts. We compared the analgesic eff ects and side eff ects of ketamine added to bupivacaine in pediatric patients under-going inguino-scrotal surgeries. Materials and Methods: 80-patients (3 to 10 years) were randomly assigned into 2-groups by lott ery method. Aft er sevofl urane in oxygen general anaesthesia induction, each patient received either a single caudal dose of bupivacaine 0.25% (1 mL/kg) with normal saline or bupivacaine 0.25% with ketamine 0.5 mg/kg. Haemodynamic variables, MOPS score, analgesia duration, use of analgesics and side eff ects were assessed during the fi rst 12 h. Results: Addition of ketamine to caudal bupivacaine signifi cantly prolonged the duration of analgesia than the use of bupivacaine alone. Th ere was statistically signifi cant diff erence between bupivacaine alone and in combination with ketamine with regards to the analgesia time (p < 0.05). No signifi cant diff erence was observed in incidence of side-eff ects. Conclusion: Addition of ketamine to caudal bupivacaine signifi cantly prolonged analgesia in children undergoinginguinoscrotalsurgeries.
- Subjects
BUPIVACAINE; KETAMINE; ANALGESIA; URETHANE; HEMODYNAMICS
- Publication
Pakistan Journal of Surgery, 2020, Vol 36, Issue 1, p90
- ISSN
0258-8552
- Publication type
Article