POSTOPERATIVE ANALGESIA;

Comparison of caudal bupivacine and bupivacaine - tramadol in children with inguinal hernia repair.

Abstract

Objective: To compare the effects after caudal bupivacaine alone and bupivacaine-tramadol in young children with inguinal
hernia repair. Setting: Department of Paediatric Anaesthesia, Children Hospital Complex, Multan. Period: August 2008 to May 2009.
Material and methods: A total of 100 children aged between 2-5 years were included in the study. Results: The duration of analgesia
was significantly prolonged in group-A patients (P=0.001). A low frequency of postoperative vomiting was observed in both groups i.e.
10% in group-A and 6.7% in group-B (P=0.64). No respiratory depression, flushing and pruritis were observed. Conclusions: Low dose
combination of bypivacaine and tramadol, when administered caudally, had an additive effect and provided prolonged and effective
postoperative analgesia with minimal side effects.