COMPARISON OF TWO DIFFERENT DOSES OF CLONIDINE WITH ULTRASOUND GUIDED CAUDAL FOR POST OPERATIVE PAIN RELIEF IN CHILDREN.

Dr. D. Ambikai, Dr. T. Chandra Kumar

Abstract


Caudal was performed under ultrasonogram guidance, to avoid multiple needle pricks,  for  reducing  intravascular or intrathecal complications and for improving the success rate of assessing epidural space in the first attempt. A prospective randomized double blinded study was done to compare efficacy of two different doses of clonidine with bupivacaine using ultrasound guided caudal  block in children. They were divided into 2 groupsGroup 1 : 1ml/kg of 0.25% bupivacaine    +1mics/kg of clonidine Group 2 : 1ml/kg of 0.25% bupivacaine    +2 mics/kg of clonidine Assessment of pain by FLACC SCALE was done at 2, 6, 8, and 10  hours postoperatively According to the study , duration of post operative analgesia was prolonged with clonidine 2 mics/kg than clonidine 1 mics/kg  group with a mean of 9 hrsvs 7.1hrs , the number of doses of rescue analgesia was reduced in clonidine 2 mics/kg group as well as FLACC scale score  remain statistically significant at 10 hrs between two groups .The hemodynamic parameters were well maintained in both groups , there was no incidence of respiratory depression, hypotension and bradycardia. Hence Clonidine 2 mics/kg can be safely used in paediatrics as it has prolonged duration of post operativeanalgesia  as well as it is devoid of  side effects.


Keywords


Pediatric surgery, clonidine, caudal block, ultrasound guided, analgesia, complications

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References


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