COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Current Issue

Year 2020

Volume: 7 , Issue: 1

Article Access statistics

Viewed: 567

Emailed: 0

PDF Downloaded: 255

Indian Journal of Clinical Anaesthesia


A study to evaluate efficacy and safety of dexmedetomidine (1 µg/Kg) as an adjuvant to caudal ropivacaine (0.25%1 Ml/Kg) in paediatric infraumbilical surgeries


Full Text PDF Share on Facebook Share on Twitter


Author Details : G. Anand Isaac, Prabhavathi R, P. Narasimha Reddy, J. Suresh

Volume : 4, Issue : 4, Year : 2017

Article Page : 453-458


Suggest article by email

Abstract

Aim: Clinical evaluation of efficacy and safety of dexmedetomidine used as an adjuvant to caudal ropivacaine in paediatric infraumbilical surgeries.
Materials and Method: In randomized, prospective, double blind study, 60 paediatric patients were randomly allocated into one of the two study groups of 30 each to receive caudal injection either ropivacaine (1ml/kg) + normal saline (0.5 ml) (RN) or ropivacaine (1ml/kg) + dexmedetomidine (1 µg/kg) (RD) for post operative analgesia. Pain was assessed by face, leg, activity, cry, consolability (FLACC) pain score and arousability assessed by Ramsay’s sedation score.
Results: The duration of post operative analgesia in group RD was 8 hours as compared with group RN was 4 hours. The sedation scale was assessed by Ramsay’s sedation score, Group RD showed better sedation and easily arousable as compared to group RN. The number of rescue analgesia was more in group RN (mean ±SD 1.69±0.66) as compared to group RD (mean ±SD 1.22±0.43), it was statistically significant with P < 0.001. Group RN patient significantly shows higher FLACC score compared with group RD patients.
Conclusion: Caudal dexmedetomidine 1 µg/kg with 0.25% of ropivacaine 1 ml/kg for paediatric patient undergoing lower abdominal surgeries achieved postoperative pain relief upto8 hours and the required dose of rescue analgesic was less with minimal adverse effects. 

Keywords: Caudal block; ropivacaine; dexmedetomidine; children.

 

How to cite : Isaac G A, Prabhavathi R, Reddy P N, Suresh J, A study to evaluate efficacy and safety of dexmedetomidine (1 µg/Kg) as an adjuvant to caudal ropivacaine (0.25%1 Ml/Kg) in paediatric infraumbilical surgeries. Indian J Clin Anaesth 2017;4(4):453-458

Copyright © 2017 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)