- CODEN : IAJPBB
- issn 2349-7750
TITLE:
EFFICACY OF LOW DOSE TRAMADOL WITH CAUDAL BUPIVACAINE FOR POST-OPERATIVE ANALGESIA IN PAEDIATRIC PATIENTS
AUTHORS:
Dr Naima Khan, Dr Sidra Azhar, Dr Muhammad Ali Shah
ABSTRACT:
Aim: To determine the postoperative analgesic and potential caudal block side effects when the bupivacaine-tramadol combination is used at low doses. Study design: A case series. Place and Duration: In the Department of Pediatric Surgery and Anesthesia department of Nishter Hospital Multan for one year duration from March 2019 to March 2020. Methodology: All pediatric patients from 1 month to 12 years of age, both sexes, ASA I and II undergoing intracerebral surgery received a caudal block using a 0.25% bupivacaine combination at a dose of 0.5 ml / kg and tramadol 1 mg / Kg. Patients in whom caudal analgesia was contraindicated or unsuccessful were excluded from the study. Postoperative pain was assessed using the observer's pain scale and pain self-description in a child when he is over 2 years old. Requirements for emergency anesthesia were noted along with postoperative complications. Results: A total of 48 people undergoing various infrared surgery (herniotomy, hypospadias repair, PPV ligation, orchidopexy, appendectomy, circumcision, etc.) received caudal block using a combination of bupivacaine and tramadol. All patients were pain free for over 12 hours. None of them required additional / rescue analgesia. No patient had postoperative complications such as respiratory depression, pruritus and urinary retention, while in a few cases nausea / vomiting was found. Conclusion: The combination of low-dose bupivacaine with tramadol caudally form has an additive effect. This combination provides extended effective and safe postoperative analgesia with minimal side effects in children. KEYWORDS: caudal block, bupivacaine, tramadol, postoperative analgesia
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Approved Journal
NLM ID:101711216 [Serial]
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ICV 2015 - 61.16
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S.J Impact Factor:7.157
cosmos Impact Factor:4.153
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IP Indexing Impact Factor: 2.76
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