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CAUDAL ANALGESIA FOR POSTOPERATIVE PAIN RELIEF IN CHILDREN

K R Sivashankar1, S K Dass2

  • 1Reader, Dept of Anaesthesiology, Armed Forces Medical College, Pune 411040.

Medical Journal, Armed Forces India
|August 4, 2017
PubMed

Insights

Bupivacaine provided significantly longer postoperative pain relief than lignocaine in children undergoing infraumbilical surgery. This study highlights bupivacaine as a superior option for extended analgesia in pediatric surgical patients.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Pharmacology

Background:

  • Effective postoperative pain management is crucial for pediatric surgical recovery.
  • Caudal epidural anesthesia is commonly used for infraumbilical surgeries in children.
  • Assessing local anesthetic efficacy for prolonged analgesia is essential.

Purpose of the Study:

  • To compare the efficacy of bupivacaine and lignocaine for postoperative pain relief in children.
  • To determine the duration of the pain-free period following caudal epidural administration of these agents.

Main Methods:

  • A randomized study involving 40 children undergoing elective infraumbilical surgery.
  • Caudal epidural administration of either lignocaine (1%) or bupivacaine (0.25%) at 0.5 mL/kg.
  • Pain-free duration assessed using subjective pain scales post-surgery.

Main Results:

  • Children receiving bupivacaine experienced a significantly longer pain-free period (14.75 ± 2.75 hours).
  • Lignocaine provided a shorter pain-free period (7.25 ± 3.25 hours).
  • The difference in pain relief duration between the two anesthetics was statistically significant.

Conclusions:

  • Bupivacaine offers superior and prolonged postoperative analgesia compared to lignocaine in pediatric infraumbilical surgery.
  • Caudal epidural bupivacaine is an effective choice for extended pain management in this patient group.
  • These findings support the use of bupivacaine for optimizing pain control in pediatric surgical settings.

Keywords:
AnaesthesiaAnalgesia epiduralBupivacaineLignocainePain postoperative

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