Postoperative Analgesia After Inguinal Herniotomy in Children; A Comparison of Combination of Intravenous Paracetamol and Rectal Diclofenac with Caudal Bupivacaine

Objective: To compare the efficacy of intravenous paracetamol and rectal diclofenac combination with caudal block using 1ml/kg 0.25% bupivacaine in management post-operative pain following paediatric inguinal herniotomy. Methodology: This quasi-experimental study was conducted at Department Anesthesia, Holy Family Hospital, Rawalpindi, from February 2020 to August 2020. A total 342 children aged 2-12 years requiring herniotomy were enrolled after satisfying inclusion exclusion criteria. Computer-generated random numbers used split patients into two groups. Group received (30 mg/kg) (1mg/kg). B a Bupivacaine. Pain assessed postoperatively PACU by modified Objective Scale (OPS) every 15 minutes for 1st hour hourly up till 8 hours. Effective analgesia defined as OPS score ≤ 3 upto hours shifting PACU. If any time, >3 patient required rescue analgesic, effective anaglesia not achieved. Results: achieved 82.46% (n=141) Group-A versus 87.13% (n=149) Group-B (p-value: 0.23). Conclusion: There is no significant difference paracetamol/diclofenac group compared group.