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Year : 1994  |  Volume : 40  |  Issue : 2  |  Page : 61-4

Post-operative pain relief in children following caudal bupivacaine and buprenorphine--a comparative study.


Dept of Anaesthesiology, KEM Hospital, Parel, Bombay.

Correspondence Address:
T K Anilkumar
Dept of Anaesthesiology, KEM Hospital, Parel, Bombay.

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Source of Support: None, Conflict of Interest: None


PMID: 0008737553

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Eighty-five paediatric patients (age range: 6 mths-12yrs) undergoing lower abdominal surgery were studied for post-operative pain relief following either caudal bupivacaine (GpI: n = 43) or buprenorphine (GpII: n = 42). Bupivacaine was administered as 0.5ml/kg body weight of 0.25% solution and buprenorphine as 4 micrograms/ml and volume of 0.5 ml/Kg body weight in normal saline. Post-operatively pain was graded on a 4-point scale and behaviour on a 5-point scale. Any post-operative complications and need for additional analgesia were also noted. Bupivacaine provided good pain relief in the early post-operative hours but buprenorphine provided pain relief lasting for 24 hrs or more post-operatively. Post-operative behaviour of 10 patients receiving buprenorphine was graded as cheerful as compared to 2 from bupivacaine group. Till the end of observation period (i.e. 8 hr post-operatively), majority of patients receiving buprenorphine remained cheerful.






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Online since 12th February '04
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Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
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