Comparison of Midazolam with Bupivacaine and Fentanyl with Bupivacaine in Caudal Epidural Analgesia for Efficacy and Duration of Post­ Operative Analgesia in Children Undergoing Infra Umblical Surgeries

Abstract

Caudal anaesthesia is a useful adjunct to general anaesthesia for infra umbilical surgeries in children as it provides post-operative analgesia and reduces pen­ operative narcotic requirements There is prolongation o. f duration of analgesia by mean duration of 318.20±24.49 minutes with addition Fentanyl to Bupivacaine. When comparing the efficacy of two differential drugs fentanyl I µg/kg and midazolam 5 0µg/kg in combination with Bupivacaine 0.2 5%, lml/kg.  Duration of analgesia was found significantly more in group using Fentanyl with mean duration of 318.20 ± 24.49 minutes compared to Midazolam with mean duration of 247.25 ±12.19 minutes.