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Abstract

Objective: To compare the effects after caudal bupivacaine alone and bupivacaine-tramadol in young children with inguinalhernia repair. Setting: Department of Paediatric Anaesthesia, Children Hospital Complex, Multan. Period: August 2008 to May 2009.Material and methods: A total of 100 children aged between 2-5 years were included in the study. Results: The duration of analgesiawas significantly prolonged in group-A patients (P=0.001). A low frequency of postoperative vomiting was observed in both groups i.e.10% in group-A and 6.7% in group-B (P=0.64). No respiratory depression, flushing and pruritis were observed. Conclusions: Low dosecombination of bypivacaine and tramadol, when administered caudally, had an additive effect and provided prolonged and effectivepostoperative analgesia with minimal side effects.