International Journal of Medical Anesthesiology
2021, Vol. 4, Issue 2, Part D
Comparative study of caudal tramadol and caudal dexmedetomidine as an adjuvant with ropivacaine in paediatric infraumbilical surgeries
Author(s): Dr. Usha Badole and Dr. Suhas A Hooli
Abstract: Background and Aims: Caudal anaesthesia is one of the most commonly used regional anaesthetic technique in providing peri- and post-operative analgesia. It can serve as the sole anesthetic or can be an adjuvant to general anaesthesia. The aim of this study was to compare the clinical efficacy of the caudal block of 0.25% Ropivacaine with Tramadol or Dexmedetomidine as an adjuvant in paediatric infraumbilical surgeries.
Methods: In this prospective, randomised, double-blinded comparative study, sixty children of either gender, in the age group of 1-8 years and scheduled for elective infra umbilical surgeries were randomly divided into two groups of thirty each. Children in Group D received a caudal epidural injection of 1ml/kg 0.25% ropivacaine with 2µg/kg dexmedetomidine while Group T received a caudal epidural injection of 1ml/kg ropivacaine with 2mg/kg tramadol. The primary outcome variable was the duration of time to rescue analgesia. The secondary outcome variables were onset of action, residual motor block, sedation score and adverse effects.
Results: Results were statistically analysed using student’s t- test. Mean time of rescue analgesia in group D was 718.00 ± 100.06 min i.e. 11 hours 58 minutes and in group T was 467.33± 68.94 min i.e. 7 hours 47 minutes. (P<0.001). Pain scores measured at regular intervals post operatively were lower in D group as compared to T group. Rescue analgesia requirement was more in group T as compared to group D. Haemodynamic changes and side effects were comparable between the groups
Conclusion: Caudal dexmedetomidine with Ropivacaine provides longer duration of post-operative analgesia as compared to caudal Tramadol with Ropivacaine.
Pages: 250-257 | Views: 599 | Downloads: 285
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How to cite this article:
Dr. Usha Badole, Dr. Suhas A Hooli. Comparative study of caudal tramadol and caudal dexmedetomidine as an adjuvant with ropivacaine in paediatric infraumbilical surgeries. Int J Med Anesthesiology 2021;4(2):250-257. DOI: 10.33545/26643766.2021.v4.i2d.265