files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
About US
Editors
Issues
Pages
Indexed in
145
Views
30
Downloads

Randomized Comparative Study of Analgesic Efficacy of Dexamethasone and Tramadol as Adjuvants with Bupivacaine for Paediatric Caudal Analgesia

N. Chandana, M.S. Abhishek and Palempalli Sree Vidya
Page: 193-198 | Received 15 Jul 2024, Published online: 14 Sep 2024

Download Citation
https://doi.org/10.36478/10.36478/makrjms.2024.10.193.198

Full Text Reference XML File PDF File

Abstract

Understanding pain and its management has been the focus of continuing human efforts over centuries. More often pain is underestimated in smaller age group. Caudal blocks, being relatively simple technique provides good perioperative analgesia in paediatrics undergoing infra‐umbilical surgeries. This study aims at comparing the analgesic efficacy of dexamethasone and tramadol as adjuvants in paediatric caudal analgesia. This was a prospective randomized comparative study. 90 children aged between 6months to 8 years, undergoing elective infra‐umbilical surgeries were allocated into three groups. Group B received 0.5ml/kg of 0.25% Bupivacaine. Group BD received 0.2mg/kg of Dexamethasone with 0.25% Bupivacaine, Group BT received 2mg/kg of Tramadol with 0.25% Bupivacaine. Caudal block was performed after securing airway with LMA. Pain was assessed intraoperatively, by monitoring changes in HR (Heart Rate) and postoperatively, using FLACC (Face, Leg, Activity, Cry, Consolability) scale. Paracetamol 15mg/kg was used as rescue analgesia. The study ended with the use of rescue analgesia. Intraoperatively mean HR was not significant between the three groups with p values >0.2. Post‐operatively, FLACC score progressively increased after 30min in all three groups. The FLACC score was significant at 2 and 4hours (p<0.001) and 8hours(p value 0.029). The mean duration of analgesia was 212.30±16.48 minutes in group B, 478.73±56.83 minutes in group BD and 365.76±44.43minutes in group BT with p value <0.001. Dexamethasone has better analgesic efficacy and less side effects when compared to tramadol as adjuvant in paediatric caudal analgesia.

How to cite this article:

N. Chandana, M.S. Abhishek and Palempalli Sree Vidya. Randomized Comparative Study of Analgesic Efficacy of Dexamethasone and Tramadol as Adjuvants with Bupivacaine for Paediatric Caudal Analgesia.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.193.198
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.193.198