A COMPARISON OF MAGNESIUM SULPHATE AND DEXAMETHASONE AS AN ADJUVANT TO CAUDAL LEVOBUPIVACAINE FOR POSTOPERATIVE ANALGESIA IN PAEDIATRIC INFRA UMBILICAL SURGERIES.

Abstract

BACKGROUND: Caudal Anaesthesia is commonly performed anaesthetic technique in paediatric patients undergoing various infra-umbilical surgeries. Prolongation of caudal analgesia using single shot technique can be achieved by addition of various adjuvants. To compare efcacy of post operative analgesia of Magne AIM: sium sulphate and Dexamethasone with Levobupivacaine in caudal anaesthesia. This was randomised double blinded cont METHOD: rolled study conducted on 60 paediatric patients of age group 1-6 year and ASA I-II grade, undergoing infraumbilical surgeries, divided randomly into 2 groups. Group M (n= 30) received 50mg Inj. Magnesium sulphate with Inj. Levobupivacaine 0.25% (1ml/kg) and Group D (n= 30) received 0.1mg/kg Inj. Dexamethasone with Inj. Levobupivacaine 0.25% (1ml/kg) in caudal block after induction with general anaesthesia. Duration of analgesia, intraoperative cardiovascular stability and adverse effects were assessed. Duration of post operative analgesia and time of rst rescue analgesia requirement was assessed using FLACC score (FLACC score>\=4). Standard qualitative and quantitative tests were used to analyse and compare the results. P<0.05 considered as statistically signicant. The mean duration of analgesia was s RESULTS: ignicantly longer in group D than group M with p< 0.001. No signicant hemodynamic changes and side effects were observed in both groups. Dexa CONCLUSION: methasone 0.1mg/kg and Magnesium sulphate 50mg as an adjuvant to 0.25% Levobupivacaine in caudal Anaesthesia are safe and Dexamethasone as adjuvant to Caudal Levobupivacaine provides prolonged analgesia than Magnesium sulphate.