Journal of AdvancedMedical and Dental Sciences Research

Background: In children, regional anaesthesia was first studied by August Bier in 1899. Since then, spinal anesthesia was known to be practiced for several years with a series of cases published as early as in 1909-1910.The appearance of neuromuscular blocking agents and the development of volatile anesthetics in the forties shifted the techniques toward general anesthesia. However, spinal pediatric anesthesia did not disappear. Hence; we comparatively evaluated the spinal and caudal block technique in paediatric patients. Materials & Methods: The present study was conducted in the paediatrics department of the institution and included all the patients reporting for the treatment of various surgical procedures from 2011 to 2014. Before performing surgical procedures, injection of ketamine 2 mg/kg was given. 120 patients were divided into two groups with 60 patients in each group. After performing procedure, patient were turned supine, level of block was checked by pin prick method up to 15 minutes. Motor block was assessed by Bromage scale. During surgery, sedation is maintained using midazolam at 0.1 mg/kg as necessary and the patient is kept with continuous oxygen administration by a mask close to the face. Postoperatively pain was assessed every 30 minutes using observed pain score. All the results were analyzed by SPSS software and chi-square test was used for assessment of level of significance. Results: Mean age of the patients in group A and group B were 7.5 and 7.9 years respectively. Most of the patients in both the groups were males. Non-significant results were obtained while comparing the demographic details of the patients in both the groups. While comparing the various type of surgical procedure in the two study groups, non-significant results were obtained. Non significant results were obtained while comparing the mean duration of sensory and motor block in the two study groups. Non-significant results were obtained while comparing the mean duration in the two study groups. Conclusion: In terms of success, both the techniques are equally good.
Key Words: Anaesthesia, Caudal, Paediatric, Spinal

Corresponding Author: Dr. Ajay Batra, Associate Professor, Department of General Anesthesia, Narayan Medical College and Hospital, Sasaram
 
This article may be cited as: Batra A. Evaluation of effect of spinal and caudal anaesthesia in paediatric patients: A comparative study. J Adv Med Dent Scie Res 2016;4(5):44-47.