Abstract

COMPARATIVE STUDY OF EFFICACY OF POST OP ANALGESIA IN CHILDREN USING RECTAL DICLOFENAC SUPPOSITORY, CAUDAL BLOCK WITH BUPIVACAINE AND A COMBINATION OF BOTH

Author(s): B. Kanchanamala, V. J. Karthik

BACKGROUND Management of postoperative pain in neonates and children is a challenging job for anaesthesiologist since pain is responded by infants with an autonomic response. Multimodal analgesia has been invariably used in adults for postoperative pain management and less often in children assuming the underdeveloped pain pathway and perception of pain in children. This study aimed to compare the efficacy of postoperative analgesia using rectal diclofenac suppository, caudal analgesia and a combination of both. MATERIALS AND METHODS A prospective randomized controlled study was conducted in a Government tertiary care hospital with 90 children grouped into three groups. Group I received 1 mg/kg of 0.25% Bupivacaine caudal analgesia, Group II received rectal diclofenac sodium 1 mg/kg and Group III received a combination of both. RESULTS Results were analysed using t test, chi square test and ANOVA. CONCLUSION Analysis of results showed that the analgesia produced by a combination of caudal analgesia with diclofenac suppository was superior compared to using diclofenac suppository or caudal analgesia alone.