EVALUATION OF POSTOPERATIVE ANALGESIC EFFECTS OF INTRATHECAL TRAMADOL WITH BUPIVACAINE AND BUPIVACAINE ALONE IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERY: A COMPARATIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 6
Abstract
BACKGROUND Effective pain control is essential for optimum care of patients in the postoperative period. Epidural and intrathecal administration of drugs have been used increasingly for relief of postoperative pain. Tramadol is a centrally acting analgesic that has minimal respiratory depressant effects compared to other opioids like morphine. This study was conducted to evaluate safety and efficacy of the intrathecal tramadol and to determine the postoperative analgesia. MATERIALS AND METHODS Sixty ASA 1 and 2 patients were randomly assigned to two groups. Group B (n=30) received 3 ml of 0.5% hyperbaric bupivacaine with 0.5 ml of normal saline and group BT (n=30) received 3 ml of hyperbaric bupivacaine with 0.5 ml (25 mg) of preservative free tramadol by intrathecal route at L3-L4 intervertebral space. Patient`s vital parameters, level of sensory block and sedation scores were recorded every two minutes for the first 20 minutes and then every ten minutes for the rest of surgical procedure. Assessment of pain was done using visual analogue scale (VAS=0-100 mm). Duration of analgesia was estimated from the time of completion of spinal injection to administration of rescue analgesic. RESULTS In group BT patients the VAS score was significantly lower as compared to group B patients. The mean duration of analgesia was 393.33±123.21 minutes in group BT, whereas in group B it was 167.47±12.46 minutes, which was found to be statistically significant. CONCLUSION 25 mg tramadol with hyperbaric bupivacaine intrathecally provides a better postoperative analgesia in lower abdominal surgeries.
Authors and Affiliations
Geetanjali Surendra Masamaddi, Kumara Aggunda Banappa, Narendra Babu M. C
Keywords
Related Articles
- EP ID EP213503
- DOI 10.18410/jebmh/2017/61
- Views 115
- Downloads 0
A COMPARATIVE STUDY ON EFFECT OF FENTANYL WITH PROPOFOL AND FENTANYL WITH DEXMEDETOMIDINE AS INTRAVENOUS ANAESTHETICS FOR UPPER GI ENDOSCOPY
BACKGROUND Routine upper GI endoscopy is the standard practice to diagnose oesophageal, gastric and duodenal diseases. The Upper GI Endoscopy may be performed with or without conscious sedation using topical pharyngeal a...
YELLOW PHOSPHOROUS POISONING: AN OBSERVATIONAL STUDY FROM A TERTIARY CARE HOSPITAL
BACKGROUND Yellow phosphorous, a rodenticide, is a lethal toxin in humans that can cause damages to hepatic, cardiovascular, gastrointestinal and the renal systems and it carries significant morbidity and mortality. The...
BILATERAL SIMULTANEOUS ANTERIOR AND POSTERIOR LENTICONUS WITHOUT SYSTEMIC SIGNS
A 21 year male came for eye checkup with a refractive error OD -12.00 sph, - 2.25 @ 160° cyl and OS -15.00 sph, -2.50 @ 5°cyl and was referred to department of refractive surgery for opinion His BCVA in OD 6/18, OS 6/ 24...
OXYTOCIN INDUCED NEONATAL HYPERBILIRUBINEMIA
INTRODUCTION: Hyperbilirubinemia is one of the most common causes of health problems, observed in 60% of term and 80% of preterm infants in the first week of life. Hyperbilirubinemia leads to neurotoxicity in severe cond...
THE ASSOCIATION OF BACTERIAL VAGINOSIS WITH ADVERSE PREGNANCY OUTCOMES
BACKGROUND Bacterial Vaginosis (BV) is a vaginal disease in which lactobacilli-dominated vaginal flora is exchanged with an abundant complex flora dominated by strict and facultative anaerobic bacteria. It has been assoc...