Abstract
Caudal anaesthesia/analgesia is simple to perform, reliable and safe. Various adjuvants are tried with local anaesthetic to prolong duration of post-operative a nalgesia in caudal block in paediatric patients wit h variable results. This prospective study was designed to ass ess and compare the efficacy of clonidine and dexme detomidine used as an adjuvants to bupivacaine for caudal anal gesia in paediatric patients. A 100 patients of ASA grade I or II ,age group of 6 months to 6 years undergoing infra- umblical surgeries were included in one of the foll owing two groups. Group D received 1 µg/kg Dexmedetomidine while group C received 1 µ g/kg Clonidine both with Bupivacaine plain 0.25% 1 ml/kg. Post-operative analgesia was assessed using CRIES scale. The mean duration of post-operative analgesia in group D was 14.16 ± 1 .65 hours and in group C it was 11.24 ± 2.48. The p rolongation of post-operative analgesia was significantly longe r in group D compared to group C and the requirement of rescue analgesic doses in the first 24 post-operative hour s was less in group D compared to group C. The inci dence of adverse effects were statistically insignificant be tween the two groups.The addition of both dexmedetomidine and clonidine with bupivacaine administered caudally s ignificantly increase the duration of post-operativ e analgesia.
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