A comparison between 0.25% bupivacaine and 0.25% ropivacaine in caudal anaesthesia in paediatric patients undergoing lower abdominal surgeries
Aims and Objectives: The present study was undertaken to compare the onset time, duration of action of sensory and motor blockade and postoperative pain relief between 0.25% bupivacaine and 0.25% ropivacaine in caudal block for children undergoing lower abdominal surgeries.
Method: In a double blind study, 50 patients of (age 2-8 years) ASA grade I and II were randomly allocated in two equal groups to received 0.75ml/ kg of either 0.25% bupivacaine (Group I) or 0.25% ropivacaine (Group II) via caudal epidural route. Caudal block was performed in all patients after induction of anesthesia with sevoflurane and oxygen. All the results were tabulated and analyzed statistically. For all statistical analysis, the level of significance was P < 0.05.
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 I was 142.227.77 minutes while in group II it was 120.623.51 minutes (p<0.05). The mean duration of pain relief was 241.7655.62 minutes in group I compared with 238.2 62.05 minutes in group II (p>0.05). The mean pain score of patients in both groups were comparable.
Conclusion: Bupivacaine and Ropivacaine provides almost similar duration of pain relief postoperatively but ropivacaine provides less motor blockade as compared to bupivacaine, making it a suitable agent for day care surgery with increase safety margin particularly in younger children.
Copyright (c) 2017 International Journal of Biomedical Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- An author must submit Copyright form After acceptance of the article.