EFFICACY OF CAUDAL ROPIVACAINE WITH KETAMINE VERSUS ROPIVACAINE WITH MIDAZOLAM FOR ANALGESIA IN PEDIATRIC INFRAUMBILICAL SURGERY

Aim: This study aimed to compare the analgesic efficacy of caudal ropivacaine and ketamine with ropivacaine and midazolam in paediatric patients undergoing infraumbilical surgery. Material and Methods: A study was conducted involving a group of 100 paediatric patients who underwent infraumbilical surgery. The study participants were divided into two groups: Group A received 1.0 ml/kg of 0.15% ropivacaine with 0.3 mg/kg of ketamine, while Group B received 1.0 ml/kg of 0.15% ropivacaine with 0.03 mg/kg of midazolam. The duration of the surgery, the duration of anaesthesia, the use of inhalation agents, and any complications were carefully documented. Results: The TTFAR for groups A and B were 14.5±3.50 hours and 12.26±4.12 hours, respectively. There was a significant difference in values between groups A and B (p≤0.05). The mean total fentanyl acetaminophen consumption in 24 hours was 101.79±79.14 mg for group A and 117.50±97.50 mg for group B. After the surgery, there was a noticeable difference in the FLACC pain scores between the two groups at various time intervals. Conclusion: The combination of Ropivacaine and ketamine showed better results in terms of the duration of postoperative analgesia and time for the first request of analgesic compared to the combination of Ropivacaine and midazolam.