A Comparative Study on Safety and Efficacy of Caudal, Thoracic Epidural and Intra Venous Analgesia in Paediatric Cardiac Surgery: A Double Blind Randomised Trial

• 作者: Kamalakannan G. Sambandham Mahesh Vakamudi Periyasamy Thangavel Rajesh Kumar V. Kodali Ranjith B. Karthekeyan
• 来源期刊: 心血管外科国际期刊(英文)
• 学科: 医学
• 关键词: Caudal Analgesia Thoracic Epidural Analgesia Pain Scores Paediatric Cardiac Surgery
• 年，卷（期）: 2020,（7）
• 页码范围: 101-114
• 页数: 14页
• 分类号: R65

摘要

<span style="font-family:Verdana;"><strong>Introduction:</strong></span><span style="font-family:Verdana;">Regional anaesthesia combined with general anaesthesia reduces </span><span style="font-family:;" "=""><span style="font-family:Verdana;">stress response to surgery, duration of ventilation, intensive care unit (ICU) </span><span style="font-family:Verdana;">stay and promotes early recovery. Studies on thoracic epidural, caudal analgesi</span><span style="font-family:Verdana;">a along wit</span><span style="font-family:Verdana;">h general anaesthesia (GA) in paediatric </span><span style="font-family:Verdana;">cardiac surgery are limited he</span><span style="font-family:Verdana;">nce we aimed to compare efficacy and safety of caudal, thoracic epid</span><span style="font-family:Verdana;">ural and intravenous analgesia in paediatric cardiac surgery. </span><b><span style="font-family:Verdana;">Methodology: </span></b><span style="font-family:Verdana;">This study was conducted in the Department of Anaesthesiology in a tertiary care teaching hospital in southern India from February 2019 to December 2019. 90 children were randomised into group A, group B, group C. Children in group A received caudal analgesia along with GA. Group B children received thoracic epidural along with GA. Group C patients received intravenous analgesia along with GA. Rescue analgesia 1 mcg/kg fentanyl given in all 3 groups if p</span><span style="font-family:Verdana;">ai</span><span style="font-family:Verdana;">n score is more than 4. Primary outcome assessed was post-o</span><span style="font-family:Verdana;">p pain sco</span><span style="font-family:Verdana;">res. Secondary outcome assessed was duration of ventilation, duration of intensive care unit stay. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> All patients were comparable in terms of age, sex, </span><span style="font-family:Verdana;">weight, mean RACHS score, baseline heart rate and blood pressure. Pain sco</span><span s