Abstract :
Introduction and Objective: Providing adequate pain relief has always been part of anaesthesiologist’s role in the perioperative period beyond post anaesthesia care unit. Among the many adjuvants studied neostigmine was also found to be effective in acute post-operative and chronic pain. We have studied the analgesic efficacy of caudal bupivacaine with and without neostigmine in children.
Materials and Method: In this randomized double blind study, sixty children belonging to ASA I and II, aged 2-8 years undergoing lower abdominal surgeries were randomly allocated into two groups to receive a caudal injection of 0.25% bupivacaine alone or a mixture of 0.25% bupivacaine 0.5ml/kg with 2µg/kg neostigmine. Monitoring of scores for pain, postoperative nausea and vomiting was performed by an Anaesthesiologist blinded to the study allocations.
Results: Time to the first analgesic administration of syrup Paracetamol was longer (P
Keyword :
Bupivacaine, Caudal epidural, Neostigmine, Ramsay scale, Aldrete score