Caudal bupivacaine alone versus bupivacaine with ketamine to compare postoperative analgesia

Abstract

Objective: to compare the effectiveness of caudal bupivacain alone and bupivacaine with ketamine in terms of duration of analgesia. Study Design: Randomized controlled trial. Duration and Place: Department of Anaesthesia Quid e Azam Medical College, Bahawalpur from May 2018 to May 2019. Methodology: Study was started after approval from local ethical committee a parental consent was obtained after complete information of study. Main outcome variables are duration of analgesia, pain score, Bromage score. Data analysis was done with SPSS version 23.1. P value ≤0.05 was taken as statistically significant. Results: The mean duration of analgesia and time taken to void urine after surgery of the Group A was 5.80±2.71 hours and 4.45±0.51 hours, respectively. While, the mean duration of analgesia and time taken to void urine after surgery of the Group B was 12.53±2.51 hours and 4.52±0.53 hours, respectively. Statistically significant was observed in duration of analgesia. P value 0.000. Conclusion: Combination of Ketamine 0.5 mg/kg and bupivacain 0.25% in a dose of 1 ml/kg prolonged the duration of postoperative analgesia toa significant range in comparison with bupivacaine 25% of 1 ml/kg alone. Keywords: Caudal block, Spinal anesthesia, Bupivacain, Ketamine, analgesia. DOI : 10.7176/JMPB/56-01 Publication date :May 31 st 2019