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Efficacy of Dexamethasone 0.1mg/Kg when Combined with 0.15% Ropivacaine for Caudal Analgesia in Children undergoing Infraumbilical Surgeries

Darshan M S , Samarth S P1 , Darshan M S2

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Indian Journal of Anesthesia and Analgesia 7(6):p 1417-1421, November-December 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7620.79

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Samarth S P, Darshan M S. Efficacy of Dexamethasone 0.1mg/Kg when Combined with 0.15% Ropivacaine for Caudal Analgesia in Children undergoing Infraumbilical Surgeries. Indian J Anesth Analg. 2020;7(6):1417–1421.

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

Abstract

Introduction: Recent research has focused on the addition of the glucocorticoid dexamethasone as an adjuvant to local anesthetics in regional anesthesia.8 Although the exact mechanism of action is unknown, preliminary studies suggest its addition can impressively prolong the duration of analgesia with minimal adverse effects.

Methodology: 60 children between the age group 1-5 years of ASA-PS I and II posted for elective infraumbilical surgeries were randomly grouped into two equal groups using shuffled sealed opaque envelope technique. Pre anesthetic evaluation was done and informed consent was obtained from the parents after explaining about the procedure and the drugs being used.

Results: The number of rescue analgesics required by patients receiving only ropivacaine in their caudal block was compared to in patients receiving Dexamethasone as adjuvant with ropivacaine and was found to be statistically highly significant with a p value of 0.001.

Conclusion: The mean pain scores at different time intervals in between 2 groups were compared using Independent t test and was found to be statistically highly significant with a p value of <0.0001.

 

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Samarth S P, Darshan M S. Efficacy of Dexamethasone 0.1mg/Kg when Combined with 0.15% Ropivacaine for Caudal Analgesia in Children undergoing Infraumbilical Surgeries. Indian J Anesth Analg. 2020;7(6):1417–1421.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7620.79

Keywords

Dexamethasone; Ropivacaine; Caudal analgesia.

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