comparative study of caudal epidural block single dose Bupivacaine versus tramadol for postoperative analgesia in children

ABSTRACT

The management of postoperative pain in paediatric surgery focuses on complete pain relief with no or minimum possible untoward side effects. The effects of single dose caudal tramadol with single dose caudal bupivacaine in controlling the postoperative pain were compared in this randomized double blind study, conducted in children, presented for genital surgery/vesicolithotomy. 50 children ASA I and II between 2-6 years of age were randomly divided into 2 groups and evaluated for pain relief by Hannallah pain score scale while sedation was assessed with a 5 point test. For 24 hours postoperatively, the Hannallah pain score scale value showed no statistically significant difference among groups. Postoperative analgesia was maintained from 12-24 hours in both the groups. In conclusion, Tramadol used caudally as single dose was found to be as effective and safe agent as bupivacaine in reliving postoperative pain in children