Abstract

Caudal block is commonly performed after induction of general Anaesthesia. Caudal analgesia intraoperatively reduces the amount of inhaled and intravenous anaesthetic administration, attenuates the stress response to surgery, facilitates a rapid, smooth recovery, and provide good immediate postoperative analgesia. But one of the major limitations of caudal block is relatively short duration of postoperative analgesia. Hence adjuvant drugs such as, Dexamethasone, Dexmedetomidine Ketamine, Clonidine, Opioids have been used to prolong caudal analgesia. 60 children posted for elective infraumbilical surgeries are randomly allocated according to computerized randomization chart into two groups: Group A (caudal 0.2% Ropivacaine + 0.1mg/kg Dexamethasone) and Group B (caudal 0.2% Ropivacaine + 2 µg/kg Dexmedetomidine). Study reveals that, there was no statistical significant difference of mean FLACC scores between the groups A and B at 0 hours, 2 hours (p>0.05). Whereas there was statistically very highly significant difference of mean FLACC scores between the groups A and B at 6 hours, 8 hours, 10 hours, 12 hours, 14 hours, 16 hours and 18 hours (P<0.001). There was highly significant difference of the mean FLACC score at 4 hours. There was statistical significant difference of mean FLACC scores between the groups A and B at 20 hours and 24 hours (p<0.05).

Description

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