BUPIVACAINE HYPERBARIC 0.5%: SPINAL ANESTHESIA IN CHILDREN AN OPERATION THEATRE-BASED OBSERVATIONAL STUDY FROM PEOPLE’S UNIVERSITY OF MEDICAL AND HEALTH SCIENCES HOSPITAL SHAHEED BENAZIR ABAD (NAWAB SHAH) SINDH, PAKISTAN

Abstract

Bupivacaine is a local anesthetic agent with multiple uses the current study was focused on its use in spinal anesthesia in children that a is very important aspect in this field from multiple perspectives.

Study Objectives: This scientific piece of research work aimed at evaluating the effectiveness of bupivacaine as spinal anesthesia in children.

Study place and duration. This work was accomplished at anesthesia department of People’s University of Medical and Health Sciences, Shaheed Benazir Abad, Sindh, Pakistan from November 2023 to November 2024.

Methodology: Male and female child patients were selected through inclusion and exclusion criteria requiring spinal anesthesia after written and informed consent process. Presurgical, surgical and postsurgical observations were recorded on the study proforma. There were 300 patients registered out of 212 were male while 88 were female, the mean age of study participants was 2.5 + 0.5 years where the mean weight was 10.3+1.3 Kg. Data was analyzed for frequency and percentage.

Results: The nature of surgeries were as Lower limb surgeries were 50 (16.67%), the cases of Hydrocele were 99 (33%), Vesical Calculus cases were 69(23%) and there were 82(27.33%) cases of Inguinal Hernia. Drugs which were used as preoperative medicine were Glycopyrrolate 299(99.67%), Dexamethasone 04(1.33%) and Midazolam 197 (65.67%) and Ketamine156 (52%). Drugs were used as post-operative analgesia Diclofenac Sodium Suppositories 17(5.67), Paracetamol 295(98.33%) and Nalbuphine14(4.67%). Time duration for Spinal Anesthesia with Bupivacaine were as follows time taken for Spinal Anesthesia was 6 minutes while time taken for motor block was 75 Seconds while time taken for sensory block was 40 Seconds. The average time duration for surgeries was45.25+10.30 Minutes. Time taken for recovery of sensory block was 72 Seconds whereas the Time taken for recovery of motor block was 105 Seconds. There were no intra-operative and post-operative complications noted and reported.

Conclusion: Bupivacaine is the safest and best spinal anesthetic agent in children