Haemodyamic Changes and Complication of Dexmedetomidine and Bupivacaine in Infraumbilical Surgeries in Paediatrics Age Groups: A Comparative Study
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 1923-1931
AbstractIntroduction: Pain is perhaps the most feared symptom of a disease, which a man is always trying to alleviate and conquer since ages. Pain is defined, by International Association for the study of Pain, as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.
Material and Methods: This study was conducted at Basaveshwar teaching and general hospital attached to Mahadevappa Rampure Medical College, Gulbarga from December 2011 to July 2012.This study included 60 children, of either sex, coming for various elective infra-umbilical surgical procedures such as herniotomies, circumcision, orchidopexy, perineal surgeries and minor lower extremity procedures.
Results: There was significant difference in the heart rate between the two groups AT 15 min (p<0.05),bradycardia observed in group B was amenable to treatment with atropine and no significant difference in other time interval ( p > 0.05)
Conclusion: The present study demonstrated that caudal administration of bupivacaine 0.25% (1ml/kg) with dexmedetomidine (1 μg/kg) resulted in superior analgesia with longer duration of action compared with 0.25% bupivacaine (1 ml/kg) alone, without any significant difference in the hemodynamic parameters and the incidence of side-effects except bradycardia amenable to treatment.
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