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Background: It is an accepted fact that children and infants do feel pain and should be treated adequately. The importance and benefit of regional technique to ameliorate postoperative pain is well-known. Various drugs and combinations have been tried to find a best solution. This study is done to assess if Ketamine when added to Morphine and Bupivacaine in Epidural block improves the quality and duration of pain relief. Methods: 40 children were allocated to two groupsGroup A was given 50 μg/Kg with 0.25% bupivacaine and Group B received ketamine 0.5 mg/Kg in addition. The degree of pain relief was compared between the two groups. Results: It was observed that in Group A 20% of the children were pain free and majority of the patients (40%) required supplementary analgesia. 50% of the patients in Group B required no supplementary analgesia and the rest required mostly only 1 dose of supplementary analgesia in the next 72hours of post operative period. Conclusion: It may be concluded that addition of ketamine 0.5 mg/Kg to morphine 50 μg/Kg and 0.25% bupivacaine administered through Epidural route provides better quality and the longer duration of analgesia in the post operative period.

journal of medical science and clinical research

A Comparative Study of Caudal Epidural Injection of MorphineBupivacaine and Ketamine-Morphine-Bupivacaine Combination for PostOperative Pain Management in Children