Comparison of the Analgesic Effect of Tramadol Suppository with a Combination of Tramadol and Diclofenac Suppository after Lower Abdominal Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Background and aim of the study: The rationale behind this study was to reduce the side effects of standard dose of tramadol by reducing the dose of tramadol and to achieve same analgesic effect by combining with diclofenac. So this study compares the analgesic efficacy and side effect profile of rectal tramadol 100 mg with combination of rectal tramadol 50 mg and rectal diclofenac 50 mg in patients undergoing lower abdominal surgeries. Materials and Methods: Two hours after the establishment of spinal anaesthesia, patient were administered either tramadol 100 mg rectally in Group T (n=50) or combination of tramadol 50 mg rectally and diclofenac 50 mg rectally in Group TD (n=50). Using 0-10 numeric rating scale (NRS), pain at the surgical site at rest during postoperative period was measured. Any side effects like nausea, vomiting, pruritus, dizziness, headache, drowsiness, gastritis, Sweating etc. for 24 h was noted. Results: The mean duration of effective postoperative analgesia was 314.5 ± 7 minutes and 318.9 ± 5 minutes in group T and TD respectively. The difference between the groups with respect to duration of effective postoperative analgesia was not statistically significant. Group T had a statistically higher incidence of nausea and vomiting than group TD. Conclusion: The combination of low dose tramadol and diclofenac may be a better alternative to standard dose tramadol as it provides same quality and duration of analgesia with fewer side effects.
Authors and Affiliations
Mahantesh Mudakanagoudar
Keywords
Related Articles
- EP ID EP622195
- DOI 10.21088/ijaa.2349.8471.6419.14
- Views 65
- Downloads 0
Placement of Oral Endotracheal Tube and its Possible Determinants in Adult Patients
Aim: This study was conducted with the aim of determining the optimal depth of ET placement in Indian adult populationand its relation with vertebral column, height, weight, arm span length. Materials and Methods: This w...
Effect of Posture on Postoperative Oxygen Saturation in Patients Undergoing Upper Abdominal Surgery under General Anaesthesia: It Matters
Context: Incidence of postoperative pulmonary complications is between 3050% in patients undergoing abdominal surgery. Addressing pain at surgical site and improving respiratory mechanics , to reduce postoperative hypox...
A Clinical Comparative Study of Pre-Emptive Analgesia by Intranasally Instilled Ketamine Vs Fentanyl in Endoscopic Nasal Surgery
This study was undertaken for the study of preemptive analgesic effects of intranasal ketamine and intranasal fentanyl in patients undergoing endoscopic nasal surgery. Material and Method: Patients were allocated in one...
A Prospective Randomised Control Study to Compare Hyperglycemic Stress Response to General Anaesthesia in Non Diabetics and Controlled Diabetics Posted for Elective Surgical Procedures
Diabetic patients presenting for elective surgical procedures will place an increasing burden on anaesthetic services. The effects of surgical stress and anesthesia result in a a hypermetabolic stress response, referred...
A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine with Fentanyl Versus 0.1% Ropivacaine with Fentanyl
Introduction: The responsibility of the Anaesthesiologist in obstetrics is arguably greater than in any other fields of anaesthesia. Aim: To compare the quality of epidural analgesia of 0.125% bupivacaine with 0.1% ropiv...