Caudal bupivacaine - midazolam for post operative analgesia in children

Authors

  • Idris Ali Consultant Anaesthesiologist, Dhaka Dental College Hospital, Dhaka
  • Amirul Islam 2Anaesthesiologist,Department of Anaesthsia, Analgesia & Intensive Care Medicine, BSMMU, Shahbag, Dhaka
  • Golam Morshed Consultant Anaesthesiologist, Chuadanga Health Complex, Kushtia
  • Nurul Islam Anaesthesiologist, Department of Anaesthesiology and ICU, DMCH, Dhaka
  • Ashia Ali Associate Professor, Cardiac Anaesthesia unit, Department of Anaesthesia, Analgesia & Intensive Care Medicine, BSMMU, Shahbag, Dhaka
  • UH Shahera Khatun Professor and Head, Department of Anaesthesiology and ICU, DMCH, Dhaka

DOI:

https://doi.org/10.3329/jbsa.v23i1.18152

Keywords:

bupivacaine, midazolam, caudal, genitourinary, analgesia.

Abstract

Background: Adjuvant used with local anaesthetic agent in caudal is more effective for post operative analgesia in children .

Aim and objective: To find out the duration and quality of caudal analgesia in children undergoing genitourinary surgery by combination of bupivacaine and midazolam.

Methods: A total number of sixty patients ASA grade I&II were selected randomly as per inclusion & exclusion criteria in two groups. Thirty in each group. In group A, caudal block was given by bupivacainemidazolam mixture and in group B, caudal block was given by bupivacaine in lateral decubitus position, just after completion of surgery before reversed from GA. In post operative period arterial blood pressure, heart rate, and duration of analgesia were recorded.

Results: There was no significant difference between the groups of blood pressure, heart rate, and pain score up to 30 min but after one hour of post operative period pain scores were significant(p<0.05).

Conclusion: Midazolam improves the duration and quality of analgesic effect of bupivacaine.

DOI: http://dx.doi.org/10.3329/jbsa.v23i1.18152

Journal of BSA, 2010; 23(1): 8-13

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Published

2014-03-01

How to Cite

Ali, I., Islam, A., Morshed, G., Islam, N., Ali, A., & Khatun, U. S. (2014). Caudal bupivacaine - midazolam for post operative analgesia in children. Journal of the Bangladesh Society of Anaesthesiologists, 23(1), 8–13. https://doi.org/10.3329/jbsa.v23i1.18152

Issue

Vol. 23 No. 1 (2010)

Section

Original Articles