Caudal Analgesia in Paediatrics: Comparison Between Bupivacaine Alone and in Combination With Ketamine for Postoperative Analgesia in Gvmc, Vellore

Abstract

BACKGROUNDCaudal block is a common technique for paediatric analgesia, but with the disadvantage of short duration of action of bupivacaine after single injection. Caudal ketamine could offer significant analgesic benefits. We compared the analgesic effects and side effects of ketamine added to bupivacaine in paediatric patients undergoing lower abdominal surgeries.

Caudal bupivacaine alone versus bupivacaine with ketamine to compare postoperative analgesia

“…Among its disadvantages most common is short duration of action when a single injection of local anaesthetic was given, even bupivacain which is a long acting anaesthetic gives only 4 to 8 hours of analgesic effect 4,5 . To overcome this short duration of action codual catheter was inserted for repeated doses of anaesthetic agent but this method not too much popular because of high risk of infection 6 .…”