Post operative pain relief in lower abdominal and lower limb surgeries using fentanyl and tramadol – a comparative study
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 5
Abstract
Introduction: This clinical study is being done to compare and evaluate the drugs, Bupivacaine 0.5% heavy, Tramadol with Bupivacaine 0.5% heavy and Fentanyl with Bupivacaine 0.5% heavy, for Postoperative Pain Relief in Lower Abdominal and Lower Limb surgeries. Methodology: 90 patients were given either of the three sets of intrathecal drugs randomly so that each group comprised 30 patients. Group A- 3ml (15mg) Bupivacaine 0.5% heavy, Group B-3ml (15mg)Bupivacaine 0.5% heavy and Tramadol hydrochloride 25mg (0.5 ml),Group C-3ml (15mg) Bupivacaine 0.5% heavy and Fentanyl citrate 25mg (0.5 ml). Observation: On intergroup comparison the difference is statistically highly significant for duration of sensory blockade. Though duration of sensory blockade is prolonged with both Tramadol and Fentanyl, it is more prolonged with Fentanyl. Conclusion: The mean duration of postoperative pain relief was significantly longer in the range of 6.15±1.02 hours with intrathecal Fentanyl when compared to 4.21±0.91 hours with intrathecal Tramadol. Intraoperative and postoperative vital parameters are not affected by the addition of Fentanyl or Tramadol to Bupivacaine for subarachnoid block. Fentanyl or Tramadol given intrathecally with Bupivacaine does not affect the characteristics subarachnoid block. Thus it can be concluded the Fentanyl in a dose of 25 g intrathecally provides longer postoperative pain relief compared to intrathecal 25mg Tramadol with appreciable less incidence of side effects.
Authors and Affiliations
Ashwini Kumar Patel, Sugandha Sirohi, Ajay Vatal, Dhruvendra Pandey
Keywords
Related Articles
- EP ID EP179840
- DOI -
- Views 114
- Downloads 0
Comparative study of anemia cases based on peripheral blood smears and cell counter generated red cell indices
Background: Analyzing peripheral blood smears routinely has facilitated interpretation of various hematological disorders and has been a major diagnostic tool. The advent of automated hematology cell counter has improved...
Comparative study of clonidine and dexmedetomidine used as adjuvant to epidural ropivacaine in orthopaedic lower limb surgery
Background: A lot of researches have been done to find an ideal adjuvant to ropivacaine in regional anaesthesia that inhibits intra and post operative pain and prolong the duration of anaesthesia without any side effects...
A comparative study between ultrasound guided and peripheral nerve stimulator guided brachial plexus block by supraclavicular approach
Introduction: Successful peripheral nerve and plexus blockade (PNB) can provide an excellent anaesthetic outcome, either when used alone, or in combination with general anaesthesia. In either setting there is the possibi...
Sexual dysfunction in patients treated with SSRIs in a tertiary care setting: An observational clinical study
Background: Selective serotonin reuptake inhibitors form the mainstay of treatment in many of the common psychiatric disorders, mainly depressive and anxiety disorders. These drugs have a potential to cause sexual side d...
A Cross Sectional Study of Risk Factors for Development of Dehydration in Children under 5 Years Having Acute Watery Diarrhea
Abstract: Background: Diarrhea is 2nd leading cause of death in children under 5 years old. Each year diarrhea kills around 760000 children under 5 years. Objectives: To identify risk factors for development of dehydrati...