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Original Article

J Liaquat Uni Med Health Sci. 2006; 5(3): 110-113


CAUDAL EPIDURAL FOR POSTOPERATIVE ANALGESIA IN MALE CHILDREN

Jan Muhammad Shaikh, Sikandar Ali Mughal, Sher Muhammad Shaikh, Faisal Ghani Siddiqui and Amna Memon.

Abstract
OBJECTIVE: To assess the duration and safety of single dose caudal epidural with bupivacaine
for postoperative analgesia in children.
DESIGN: A descriptive study.
SETTING: Chandka Medical College Hospital, Larkana from February 2002 to September 2004.
PATIENTS AND METHODS: One hundred and seventy six boys, ASA-I, between the ages of 2 to
8 years, scheduled for inguinal or penile surgery, were randomly assigned in a prospective
fashion to receive single shot caudal epidural with bupivacaine 0.25%, 0.75ml.kg-1, and studied
for postoperative pain relief. Pain was evaluated by using faces pain scale. Analgesia was administered
when pain scale was 3-4. Postoperative complications were also noted.
RESULTS: Mean duration of analgesia was 10.433.4 hours. Time for micturation was 161.79
83.2 minutes while time to stand was 161.2169.65 minutes. Haemodynamic and respiratory parameters
remained stable during the observation period. Frequency of postoperative nausea
and vomiting was 7% while urinary retention occurred in 1.4% patients.
CONCLUSION: Caudal epidural analgesia with bupivacaine 0.25% in a dose of 0.75ml.kg-1 provides
safe and effective postoperative pain relief in children undergoing inguinal and penile surgery,
with very few complications.

Key words: Caudal Epidural. Bupivacaine. Postoperative analgesia. Children.



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