Caudal Bupivacaine versus Systemic Nalbuphine for Post-Operative Pain Management in Children Undergoing Inguinal Hernia Repair

Abstract

tudies have suggested that painful experiences and events during childhood even during infancy, may lead to long term psychological effects. Therefore pediatric anesthetists, surgeons and pharmacologists had been in a continuous search to locate a safe and effective analgesic for children (Larsson, 2001). Inguinal herniotomy is one of the most commonly electively done procedures in children. The estimated prevalence in preterm and full term infants is 10% and 1-5% respectively. It is usually done as a daycare procedure; however most of the pediatric surgeons now recommend admission of the child for overnight if age is less than 6 months (Nazem et al., 2016). As it is a clean case, so usually patient is kept on ‘nothing per oral’ status for a short time. Oral pain killers are allowed immediately after allowing feed in post-operative period. So the main problem of pain control in these patients is in the immediate 4-6 hours post-operative period. Therefore we planned this study and compared pain control of two regimens for 8 hours post-operatively.