Ain-Shams Journal of Anaesthesiology

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 8  |  Issue : 4  |  Page : 628--633

A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children


Mohamed F Mohamed, Reham M Husein, Mohamed I El Sonbaty, Sara M Khattab 
 Department of Anesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Mohamed I El Sonbaty
Department of Anesthesia, Faculty of Medicine, Cairo University, 6 Manail Street, Cairo 202, 123432
Egypt

Background Caudal anesthesia (CA) is used in pediatrics to avoid the possible side effect of postoperative opioids and allows for smooth and rapid emergence from anesthesia. Opioids were added to the injection in CA to prolong the effect of anesthesia. Objective To compare the effect of bupivacaine alone and with nalbuphine in CA. Patients and methods A total of 40 patients scheduled for operations under general anesthesia combined with CA were divided into two groups: in group B, CA was carried out by injection of bupivacaine 0.25% in a dose of 1 ml/kg, and in group NB, CA was carried out by injection of bupivacaine 0.25% 1 ml/kg with nalbuphine 0.1 mg/kg. Hemodynamic changes, oxygen saturation, pain score at 2, 4, 6, 12, 24 h postoperative, sedation score, incidence of postoperative urine retention, and duration of motor block were compared in both groups. The respiratory depression effect of nalbuphine was also recorded. Results There were no significant differences between the two groups regarding the hemodynamic changes. There were significant differences in postoperative pain score and sedation as group NB had prolonged analgesia and prolonged sedation time than group B. There were no significant differences in urine retention and motor block between both groups. Conculsion Nalbuphine added to bupivacaine in CA provides longer postoperative analgesia and sedation without respiratory depression.


How to cite this article:
Mohamed MF, Husein RM, El Sonbaty MI, Khattab SM. A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children .Ain-Shams J Anaesthesiol 2015;8:628-633


How to cite this URL:
Mohamed MF, Husein RM, El Sonbaty MI, Khattab SM. A comparative study of caudal epidural bupivacaine and bupivacaine plus nalbuphine in postoperative analgesia in children . Ain-Shams J Anaesthesiol [serial online] 2015 [cited 2020 Sep 20 ];8:628-633
Available from: http://www.asja.eg.net/article.asp?issn=1687-7934;year=2015;volume=8;issue=4;spage=628;epage=633;aulast=Mohamed;type=0