Comparative Study of Epidural Bupivacaine with Butorphanol and Bupivacaine with Tramadol for Postoperative Pain Relief in InfraUmblical Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 2
Abstract
Introduction: To compare the efficacy of combination of epidural local anesthetic with tramadol and butorphanol in infraumblical surgeries. Aims and Objectives: To evaluate duration of analgesia, analgesic efficacy, and safety profile of two groups of drugsepidural butorphanol with bupivacaine and epidural tramadol with bupivacaine. Material and Methods: A prospective, randomized controlled, doubleblinded study was undertaken in 60 patients scheduled for infraumblical surgeries. Group I received epidural butorphanol 2 mg + bupivacaine 0.125% as first dose and subsequent doses, butorphanol 1 mg + bupivacaine 0.125% (total volume 10 ml). Group II received epidural tramadol 2 mg/kg + bupivacaine 0.125% as first dose and subsequent doses, tramadol 1 mg/kg + bupivacaine 0.125% (total volume 10 ml). Observed parameters were the quality of analgesia, sedation, and hemodynamic parameters in the intra and postoperative period. Time for request of rescue analgesia was noted in all the patients. Results: Visual analog scale better with butorphanol group than tramadol at 30 min after first dose. Onset of action faster with butorphanol but duration of analgesia longer with tramadol. Sedation was seen more commonly in patients with butorphanol group where as incidence of nausea and vomiting was hign in tramadol group. Conclusion: Epidural butorphanol has better quality of postoperative pain relief but the reduced duration of analgesia and sedation are the limiting factors. Epidural tramadol along with antiemetic administration is prefered for bariatric, geriatric patients, ambulatory surgeries and in patients with compromised respiratory system where sedation can be disastrous.
Authors and Affiliations
Amit Bhardwaj
Keywords
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- EP ID EP464921
- DOI 10.21088/ijaa.2349.8471.4217.12
- Views 97
- Downloads 0
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