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A comparison of Caudal Bupivacaine to Bupivacaine Infiltration with Rectal Diclofenac Suppository for Postoperative Analgesia in Pediatric Patients Undergoing Below Umbilical Surgeries

P Krishna Prasad1 , P Krishna Prasad1 , B Sowbhagyalakshmi2 , M Santhi Sree3

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Indian Journal of Anesthesia and Analgesia 8(1):p 55-61, Jan-feb 2021. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.8121.8

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P Krishna Prasad, B Sowbhagyalakshmi, M Santhi Sree / A comparison of Caudal Bupivacaine to Bupivacaine
Infiltration with Rectal Diclofenac Suppository for Postoperative Analgesia in Pediatric Patients Undergoing Below
Umbilical Surgeries. Indian J Anesth Analg. 2021;8(1):55-61.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Aim: To compare the analgesic effects of caudal block using 1ml/kg of 0.25% bupivacine to a combination of local infiltration with 0.5ml/kg of 0.25% bupivacaine with rectal diclofenac suppository 2mg/kg in the management of postoperative pain following below umbilical surgeries in pediatric patients of age group 2-7 years.

Materials and Methods: 100 patients belonging to both sexes, aged between 2-7 years, with ASA Status I, II who were posted for below umbilical surgeries under general anaesthesia were included in the study The patients were randomly allocated into two groups. Group A : Patients received caudal block with 1ml/kg of 0.25% Bupivacaine Group B : Patients received local wound infiltration with 0.25% Bupivacaine 0.5ml/kg and rectal diclofenac suppository 2mg/kg .

Observation and Results: The pain scores, total duration of analgesia, number of rescue analgesics required, time for micturition and postoperative complications,if any were compared in both the groups.

Conclusion: We conclude that both caudal block and local infiltration with reactal diclofenac suppository are equ ally effective for postoperative analgesia in below umbilical surgeries.

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Cite this article

P Krishna Prasad, B Sowbhagyalakshmi, M Santhi Sree / A comparison of Caudal Bupivacaine to Bupivacaine
Infiltration with Rectal Diclofenac Suppository for Postoperative Analgesia in Pediatric Patients Undergoing Below
Umbilical Surgeries. Indian J Anesth Analg. 2021;8(1):55-61.

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Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.8121.8

Keywords

Bupivacaine; Diclofenac; Postoperative analgesia; Caudal block.

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