Comparative study of the analgesic efficacy of rectal tramadol versus intravenous tramadol for inguinal hernia repair surgery
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 3
Abstract
Background: Pain in the perioperative setting plays a significant role in delaying an otherwise successful recovery. Tramadol is an atypical opioid having central as well as peripheral analgesic action. We compare the effects of tramadol given by two different routes, intravenous and rectal, in terms of analgesic efficacy and duration as well as its side effects in inguinal hernia repair surgeries. Material and Methods: Sixty adult male patients of ASA grade I and II posted for inguinal hernia repair surgeries were randomized to receive either rectal tramadol (2 mg/kg) (n=30) Group A or intravenous tramadol (2 mg/kg), maximum 100 mg (n=30), Group B, after the induction of anesthesia and half hour before the end of surgery. Post operative Pain measurement was performed using visual analogue scale. Rescue analgesia was given when the VAS was ≥4 in the postoperative period. Complaint of nausea/vomiting was recorded during the same period. Results: Duration of ostoperative analgesia was prolonged with the rectal route compared to intravenous administration of tramadol (240± 40 min vs 180 ± 60min). Side effects like nausea and vomiting were lower with the rectal route as compared to intravenous route. Conclusion: Efficacy and safety with rectal route of tramadol was morecompared to the intravenous route of Tramadol for the inguinal hernia repair surgery.
Authors and Affiliations
Yogesh Padol, Shilpa Gaikwad, Jyotsna Paranjpe
Keywords
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