Sourav Mondal

COMPARATIVE STUDY OF DIFFERENT DOSAGE OF CLONIDINE WITH ROPIVACAINE IN CAUDAL BLOCK FOR POST OPERATIVE ANALGESIA IN PAEDIATRIC PATIENTS

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Background And Aims: Pain perception in children, often goes undetected and undertreated. Caudal anaesthesia is the most commonly performed epidural technique in children. Single dose injection in caudal space is effective and most prevalent form of regional block especially in paediatrics, but addition of adjuncts might help in prolonging its action. The study was designed to evaluate and compare different doses of clonidine used as an adjunct to ropivacaine in caudal block Materials and Methods: The study design was prospective, randomized and double blind. Ninety patients were selected using total enumeration sampling technique and was randomized into three groups each containing thirty patients. Results: The mean duration of analgesia in group A, B and C were 7.72±1.8, 11.2±2.6 and 13.9±3.7 hours respectively. Conclusion: The addition of clonidine as an adjunct to 0.25% ropivacaine in caudal block signicantly prolong the duration of postoperative analgesia. Furthermore, the clonidine when given at 2 µg/kg further prolongs its duration when compared to that is given at 1 µg/kg body weight as an adjunct to caudal anaesthesia.

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