Naeem Liaqat, Khursheed Anwar.
Comparison of Caudal Block and Nalbuphine for Pain Management in Children.
J Rawal Med Coll Jan ;20(1):30-2.

Background: To compare pain scores in patients undergoing inguinal herniotomy after caudal block and intravenous nalbuphine.Methods: In this randomized controlled trial a total of 100 patients of age 4-12 years undergoing inguinal herniotomy were included. They were divided into two groups (50 patients in each group); Group Aincluded Caudal blockand Group Bincluded patients who received Nalbuphine. Patients in group A were given caudal block while ingroup B were given nalbuphine 0.1-0.3mg/kg.Pain scores were calculated at 0,1,2,4 and 8 hours. Requirement for rescue analgesia was calculated. All the data were analyzed by SPSS version 16.Results: The mean age of patients were found as 4.15 ± 3.32 years in group A and 4.88 ± 3.18 years in groupB. All the other demographics were comparable in both groups. The mean pain scores were less in nalbuphine group at 0,1,2 and 4 hours, however it was significant at 0 and 1 hour. The requirement of rescue analgesia was less in group B than group A (14% vs34%, p <0.05). The only side effect was observed was vomiting in 12% of patients in group B while in none of patient in group A.Conclusion: Nalbuphine is better than caudal block for pain management in children undergoing inguinal herniotomy.

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