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IJHSR. 2015; 5(6): 123-133


Caudal Epidural Ropivacaine versus Bupivacaine In Pediatric Patients For Infra-Umbilical Surgeries.

Ranjeeta Tambey, Archana Vaidya, Vrishali Ankalwar,Naresh G. Tirpude, Dinesh K. Arepallu.

Abstract
Aims and Objectives: 1. To assess the quality of sensory and motor blockade. 2. Duration of Sensory & motor blockade. 3. Duration of postoperative analgesia.
Material and Method: In a double blind study, 60 patients of (age 1-8 years) ASA grade I and II were randomly allocated in two groups to receive 1ml/ kg of either 0.25%Ropivacaine or 0.25% Bupivacaine via caudal epidural route. Group ‘R’ was Ropivacaine group = 30 patients and Group ‘B’ was Bupivacaine group = 30 patients. Caudal block was performed in all patients after induction of anesthesia with sevoflurane and oxygen. All the results were tabulated and analyzed statistically.
Results: There were statistically no significant difference between the groups, in respect of quality of sensory block and quality of motor block (p > 0.05). The duration of motor block in Group ‘R’ was 1.93±0.46 hours while in Group ‘B’ ,it was 5.1±1.09 hours (p0.05). The mean pain score of patients in both groups were comparable.
Conclusion: Ropivacaine is a safe and effective local anesthetic agent which provides prolonged postoperative analgesia but significantly less motor blockade as compared with Bupivacaine following caudal block in pediatric patients undergoing infra-umbilical surgeries.

Key words: Caudal epidural, Bupivacaine, Ropivacaine, Paediatric Infraumbilical surgeries.



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