Effects of Caudal Epidural Analgesia for Postoperative Pain Relief in Paediatric Patients in a Tertiary Care Hospital

Abstract

Introduction: Caudal epidural anesthesia, when used as a sole method for surgical anesthesia, has favorable effects on the recovery duration and the time spent in the recovery unit. Aim of the Study: The aim of this retrospective study was to assess the efficacy of caudal epidural block for postoperative pain in children in a tertiary care hospital. Methods: The retrospective study was conducted in the Department of Paediatrics Anaesthesiology, Surgical ICU in Bangladesh Shishu Hospital & Institute; during the period of 1st January 2022 to 30th June 2022. A total 60 patients were selected as study people purposively with the permission of the Hospital Ethics Committee and the informed consent from the parents of the children. Result: A total 60 study patients were selected for this study. 30 patients had given lignocaine (Group-1) and the rest 30 patients had given bupivacaine (Group-2). According to the grading of the children who were administered in two groups good result found in group-2 and it was about 21(70.00%). Maximum fair result 11(36.67%) followed in group-1. The mean of pain duration of children who were administered lignocaine (Group I) was found 7.10±3.35 and bupivacaine (Group II) was found 14.65±2.85. Both data were statistically significant (<0.0001). Conclusion: By understanding the various surgical conditions for caudal analgesia, we conclude that caudal block is a good and safe technique for paediatric patients.