Buradasınız

Epidural Tramadol for post operative analgesia

Epidural Tramadol for post operative analgesia

Journal Name:

Publication Year:

Abstract (2. Language): 
Background: Tramadol is mixed with Lignocaine 1.5% given epidurally for postoperative analgesia. We compared Tramadol with plain Lignocaine for postoperative analgesia. Method: Sixty ASA I and II patients scheduled for elective surgery below the umbilicus were divided into two equal groups in a randomized, double blinded fashion. Control Group received Lignocaine 1.5% 25 cc and Study Group received Lignocaine 1.5% 25 cc and Tramadol 50 mg epidurally. Onset time of analgesia and motor block, duration of analgesia were studied in both the groups. Result: Onset of time for analgesia and motor block was 5.5 ± 2.09 minutes and 9.13 ± 2.52 minutes in control group and it was 6.43 ± 1.90 minutes and 12.33 ± 3.20 minutes in study group respectively. The difference in the time taken for onset of analgesia was statistically insignificant (P>0.05). The difference in the time taken for motor blockade was statistically significant (P<0.05). The mean duration of analgesia in control group was 2.2 ± 0.5 hours and in study group was 6.55 ± 1.23 hours. Conclusion: The duration of analgesia in the study group was found to be highly significant (P<0.05).
48-52

REFERENCES

References: 

1. Albright G : Epidural morphine, hydro-morphine and
Meperidine for post c-section pain relief utilizing a
respiratory apnoea monitor.Anaesthesiology, 1983 (59) A-
416, ASA abstracts.
2. Armstrong P J, Bersten A: Nor-Meperidine
toxicity.Anaesth Anal 1986 (65), 536-538.
3. Baraka A, Jabbor Samar, Ghabas M, Nader A, Sibai A: A
comparison of epidural tramadol and morphine for
postoperative analgesia.Canad Jr Anaesth 1993 (40):4,
308-313.
International J. of Healthcare & Biomedical Research, Volume: 1, Issue: 2, January 2013, P: 48-52
51
www.ijhbr.com
4. Brownridge P : Epidural and intrathecal opiates for postoperative pain relief.Anaesth , 1983 (38) : 74-75.
5. Delikans A E, Vijan R: Epidural Tramadol for postoperative pain relief.Anaesthesia, 1993(48), 328-331.
6. DC White: The relief of postoperative pain. Recent advances in anaesthesia and analgesia, 1982, 14: 121-
137.
7. Fu Y P, Chan K H, Lee T K, Chang J C, Daiy Y P : Epidural Tramadol for postoperative pain relief.
Ma Tsui Hsueh chi 1991, Sept, 29(3), 648-652.
8. Houmes R J M, Voets M A, Verkaaik A, Erdmann W, Lachmann B : Efficacy and safety of tramadol
verses morphine for moderate and severe postoperative pain with special regards to respiratory depression.
Anaesth Analg 1992, 74: 510-514.
9. Inturi R, Kumar M, Tickle R A: Postoperative pain relief with epidural Tramadol. XLIV Ind conf. of ISA,
Hyderabad 1996: RA – 52 (Poster 5).
10. Lakhotiya R, Tanwar G L, Jain S, Vyas K P : Epidural Tramadol for postoperative pain relief.
Ind. Jr Anaesth. 1998, 42: 38.
11. L Brain Re: Acute postoperative pain quoted from Anaesthesia, 3rd edition, Ronald D Miller, 2135.
12. Lee’s S: Synopsis of Anaesthesia, Btterworth Heinemann, 11th edition, 719.
13. Morgan M: The rational use of intrathecal and extradural opioids.Br. Jr. Anaesth, 1989(63), 165-188.
14. Pan A K, Mukherjee P, Rudra A: Role of epidural tramadol hydrochloride on postoperative pain relief in
caesarian section delivery.Jr Ind Med Asso 1997 April, 95(4), 105-106.
15. Perriss B W, Malins A F: Pain relief in labour using epidural pethidine with adrenaline. Anaesthesia,
1981(36), 631-633.
16. Pflug A E, Bonica J J, Physiopahology and control of postoperative pain.Arch Surg 1977 (112), 773-781.
17. Rawal H H, Swadia V N, Pael H J: Epidural ramadol bolus and continuous infusion. Ind Jr Anaesh 1995
(45), 193-195.
18. Richard L B, Randy LB: Patient controlled analgesia. A new concept of postoperative pain.Goodman and
Gildman, 1980, Dec. 1981, 23; 700, 281.
19. Revill S I, Robinson J O, Rosen M, Hogg I J: The reliability of linear analogue scale for evaluating pain.
Anaesthesia 1976(31), 1191-1198.
20. Scott D B, Mclure J: Selective epidural analgesia.Lancet, 1979, 1:1410-1411.
21. Wang J K, Nauss L A, Thomas J E: Pain relief by intrathecally applied morphine in man.Anaesthesiology
1979 (50), 149-151.

Thank you for copying data from http://www.arastirmax.com