Online ISSN: 2515-8260

Keywords : pediatric patients


Caudal block in pediatric patients: Clinical profile

Dr. Harini Jalapati, Dr. Thapi Srija, Dr. Prasanth Kumar Reddy C, Dr. Ajay BC, Dr. Hulakund SY, Dr. Vanishree Alwandikar, Dr. Malladihalli Kiran Ashok Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 133-138

Caudal block can be performed as a single shot caudal or a continuous caudal using catheter
techniques. Single shot caudal blocks are used for ambulatory and minor procedures while continuous
catheter techniques are used for in-patients undergoing more extensive procedures. This study included
72 children, of both genders, coming for various elective infra-umbilical surgical procedures such as
herniotomy, orchidopexy, circumcision etc. Ethical clearance from institutional ethical committee was
obtained. Informed consent was obtained from the parents before including the children in the study. In
group A, the mean baseline heart rate was 122.67±9.08 per min which decreased to112.97±8.70 at 5
mins. The heart rate gradually decreased to 93.03±5.33 per min at 30 mins and 90.43±5.80 at 60 mins.
The mean baseline heart rate in group Bwas 121.92±8.52 per min which decreased to 112.19±9.79 at 5
mins and gradually decreased to 90.17±6.96 at 30 mins and 90.82±5.53 at 60 mins. However, there was
no significant difference in the heart rate between the two groups at any time interval.

Determination of optimal angle of needle insertion for successful caudal block in pediatric patients by comparing conventional method versus ultrasound guided method: A randomized comparative experimental study

Dr. Ajay BC, Dr. Hulakund SY, Dr. Tanuja KS, Dr. Anilkumar Ganeshnavar, Dr. Harini Jalapati, Dr. Thapi Srija, Dr. Nishanth D

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 139-144

The benefits of regional anaesthesia in children are well documented. These include attenuation of the
stress response, reduced opioid requirement and therefore reduction in associated side effects,
improved postoperative analgesia, and earlier extubation. Caudal epidural block is one of the most
common regional techniques in paediatric anesthesia. Caudal block is safe and reliable technique, easy
to perform and has been found to be very effective in children, especially in infra-umbilical surgeries
when combined with general anaesthesia. This study included 72 children, of both genders, coming for
various elective infra-umbilical surgical procedures such as herniotomy, orchidopexy, circumcision etc.
Ethical clearance from institutional ethical committee was obtained. Informed consent was obtained
from the parents before including the children in the study. Optimal calculated needle angle for
successful caudal block was 28.14±4.03 degrees in Group A, 19.22±2.78 degrees in Group B, which
was statistically significant. Needling time or procedural time for successful caudal block was
5.97±1.32 seconds in Group A, 14.25±2.93 seconds in Group B, which was statistically significant.

TYPES OF OPEN APICES SEEN IN IMMATURE PERMANENT TEETH IN PEDIATRIC PATIENTS VISITING DENTAL COLLEGE

AlaguRathiBharathi .; Mebin George Mathew; M. Sivakumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1762-1768

An immature permanent tooth is a newly erupted tooth with incomplete root formation. Once the tooth erupts, it takes upto three years for root completion. Any trauma or pathology to the tooth during this tooth might cause the tooth to lose its vitality. This clinical scenario is a challenge to the clinician as root does not develop further and may fracture. The present study was undertaken to evaluate the types of open apices seen in immature non vital permanent teeth. Data was retrospectively collected from the clinical records of patients who visited the Department of Pedodontics and Preventive Dentistry, from June 2019 to March 2020. 34 patients who fulfilled the inclusion and exclusion criteria were included in the study. Data was analysed using chi square test.Results showed that 27 males (79.41%) had open apices compared to females (20.59%). Non blunderbuss(55.28%) canals were more common compared to blunderbuss canals (44.12%). Within the limitations of our study, we conclude that non blunderbuss canals were found to be more common. Male patients had higher prevalence of open apices compared to females.