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 10.43±3.4 hours. Time for micturation was 161.79±
83.2 minutes while time to stand was 161.21±69.65 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.
Caudal Epidural. Bupivacaine. Postoperative analgesia. Children.