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 âRâ was Ropivacaine group = 30 patients and Group âBâ 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 âRâ was 1.93±0.46 hours while in Group âBâ ,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.
Caudal epidural, Bupivacaine, Ropivacaine, Paediatric Infraumbilical surgeries.