COMPARISON OF THE POSTOPERATIVE OUTCOME OF CAUDAL BUPIVACAINE VERSUS SYSTEMIC NALBUPHINE IN CHILDREN UNDERGOING ELECTIVE INGUINAL HERNIA REPAIR AT TERTIARY CARE HOSPITAL, KARACHI
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Keywords
Caudal bupivacaine, systemic nalbuphine, inguinal hernia repair, and inguinal herniotomy.
Abstract
INTRODUCTION: Inguinal herniotomy is one of the most commonly electively done procedures in children. Post-operative pain management had always been a major concern of parents as well as pediatric anesthetists. There are some options that are found and being used currently by pediatric anesthetists. However, there is no consensus over a single best method.
OBJECTIVE: To compare the postoperative outcome of caudal bupivacaine versus systemic nalbuphine in children undergoing elective inguinal hernia repair at Tertiary Care Hospital, Karachi.
STUDY DESIGN: Randomized control trial.
STUDY SETTING: The study was conducted at the Department of Anesthesia, Dow University of Health Sciences, Civil Hospital, Karachi.
DURATION OF STUDY: Six months after approval from 17-07- 21 To 17-01-22.
SUBJECTS AND METHODS: Data were prospectively collected from patients after taking consent. 94 patients who met the diagnostic criteria were included. Quantitative data were presented as simple descriptive statistics giving mean and standard deviation and qualitative variables were presented as frequency and percentages.
RESULTS: A total of 94 patients who met the inclusion and exclusion criteria were included in this study. Mean FACES pain score at 4 hours in the bupivacaine and nalbuphine group was 1.76±0.63
and 1.57±0.49 respectively. P-value was 0.01. Rescue analgesia use in the bupivacaine group showed that 19 (40.4%) and 28 (59.6%) required and did not require rescue analgesia respectively. Whereas, the nalbuphine group showed that 06 (12.8%) and 41 (87.2%) required and did not require rescue analgesia. P-value was 0.01. CONCLUSION: Nalbuphine is better than caudal block for postoperative pain management after inguinal herniotomy in children
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