EFFECTS OF DEXMEDETOMIDINE ADDED TO CAUDAL BUPIVACAINE IN PEDIATRIC LOWER LIMB SURGERIES
S.PATRO, K. MURTHY (Narayana Hrudayalaya)
Pain is perhaps the most feared symptom of a disease. We, as anesthesiologists come across this symptom at various stages starting from acute, disease process related pain,intraoperative pain caused by surgery and postoperative pain due to the same and also due to conditions like CRPS.
We attempted to look at how to reduce and abolish pain for the maximum duration possible postoperatively.
Caudal block with localanesthetic drug has been used to the same effect.However, it has shown to have a limited duration ofaction.
Addition of alpha2agonists like clonidine have shown to increase the duration of analgesia. Dexmedetomidine, a newer α2 agonist appears to be a promising adjunct as it has a safer profile.