Comparison Between Caudal Bupivacaine And Rectal Paracetamol For Postoperative Analgesia In Paediatrics Under-Going Infra-Umbilical Surgery

Abstract

A prospective randomized study was performed on 100 Sudanese children presenting for elective infra umbilical surgical procedures under general anesthesia. All patients were of ASA grade I and II. Within the age group 1-12 years. The postoperative analgesic effect of two drugs bupivacaine and paracetamol was compared. Patients in the study were randomly allocated into two groups. 50 patients in each group. Patients in group A received caudal bupivacaine (0.5 ml/kg) (0.25%) of bupivacaine. Those in group B received 20 mg/kg paracetamol rectally. 18% of patients in group A needed postoperative analgesia in the first 24 hours, 44.4% of them received intra-muscular pethedine while 55.6% received oral paracetamol. 64% of patients in group B needed postoperative analgesia in the first 24 hours, 60.8% of them received intra-muscular pethedine while 39.2% of patients received oral paracetamol. - Need for postoperative analgesia in the first 24 hours between the two groups is significantly different. - There was significant difference in time of administration of postoperative analgesic between the two groups. VI - There was no significant difference in the type of post-operative analgesic between the two groups. In conclusion caudal bupivacaine is more effective and patients were satisfied with it more than rectal paracetamol.