%0 Journal Article
%T A Comparative Study on Safety and Efficacy  of Caudal, Thoracic Epidural and Intra Venous Analgesia in Paediatric Cardiac Surgery:  A Double Blind Randomised Trial
%A Mahesh Vakamudi
%A Rajesh Kumar V. Kodali
%A Ranjith B. Karthekeyan
%A Periyasamy Thangavel
%A Kamalakannan G. Sambandham
%J World Journal of Cardiovascular Surgery
%P 101-114
%@ 2164-3210
%D 2020
%I Scientific Research Publishing
%R 10.4236/wjcs.2020.107013
%X <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 style=\"font-family:Verdana;\">res </span><span style=\"font-family:Verdana;\">were significantly lower in
thoracic epidural group compared to other two grou</span><span style=\"font-family:Verdana;\"> ps. Duration of
ventilation was lower in thoracic epidural group (91.17</span></span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">¡À</span><span style=\"font-family:Verdana;\"> 43.85) minutes and caudal (199.6 </span><span style=\"font-family:Verdana;\">¡À</span><span
%K Caudal Analgesia
%K Thoracic Epidural Analgesia
%K Pain Scores
%K Paediatric Cardiac Surgery
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=101333