Dr. Dhaval Patel, Dr. Jahnvi Patel, Dr. Shivani Shah, Dr. Priyanka Deshpande


Pain is a common  postoperative symptom impairing the quality  of postoperative recovery, delaying discharge from Post-anaesthesia care unit (PACU) or surgical centre. It leads to an increase in the incidence of post-discharge readmissions. It increases overall morbidity and incurs higher costs. Ongoing acute postoperative pain may lead to chronic pain after surgery. Caudal block is a useful alternative/supplement to general anaesthesia and total I.V. anaesthesia as it provides effective post-operative analgesia.Considering the above facts, we have designed a randomised prospective intervention open labelled study using Bupivacaine alone and Bupivacaine plus Tramadol in caudal epidural block in order to assess duration of postoperative analgesia, haemodynamic changes, side effects and degree of sedation.


pediatric surgery,caudal bock bupivacaine, bupivacaine +Tramadol

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