A Comparison of Caudal Epidural with Intravenous Ketamine Anaesthesia in Below Umbilicus Surgery in Paediatric Patients:

Geetanjali Singhal; Manish Kumar Modi; BL Mathur

doi:10.21276/aan.2019.4.2.45

Geetanjali Singhal Department of Anaesthesiology, JNU Medical College, Jaipur, India.
Manish Kumar Modi Department of Anaesthesiology, JNU Medical College, Jaipur, India.
BL Mathur Department of Anaesthesiology, JNU Medical College, Jaipur, India.

DOI: https://doi.org/10.21276/aan.2019.4.2.45

Keywords: Caudal epidural, ketamine, postop analgesia

Abstract

Background: Caudal epidural block has been found to be a safe and simple technique in paediatric surgery below umbilicus. This study was done to make a clinical comparison between effectiveness of caudal epidural and general anaesthesia with total intravenous Ketamine, in terms of intra-op and post- op analgesia. Subjects and Methods: Fifty patients in age group 1-12 years undergoing surgery below umbilicus were divided into 2 groups .Each group had 25 patients belonging to ASA groups 1 and 2. Group A was given general anaesthesia with total intravenous Ketamine. Group B received Caudal Epidural block under brief general anaesthesia with thiopentone. Results: Caudal block using injection 1% xylocaine was found to be a valuable technique of anaesthesia in paediatric surgery below umbilicus as it offered greater advantage of post op analgesia up to 6 hours. The recovery of consciousness was rapid on account of light general anaesthesia. Conclusion: Caudal blocks are effective in alleviating pain during intra op and post op period in sub-umbilical surgeries in paediatric patients. They offer perioperative hemodynamic stability along with the added advantage of minimal post-op sideeffects.

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