Postoperative analgesia with epidural butorphanol or tramadol in lower abdominal surgeries– A double blind comparative study
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 2
Abstract
Introduction Postoperative analgesia in patients undergoing lower abdominal surgery is very essential for immediate postoperative pain relief which can be provided by oral or parenteral medication epidural analgesia local blocks etc The combined spinalepidural technique CSE has become increasingly popular in recent years The study was designed to evaluate the efficacy of epidural butorphanol and tramadol for postoperative pain relief After the surgical procedure and regression of spinal analgesia the epidural catheter can be used to provide postoperative pain reliefMaterials and Methods After permission from hospital ethics committee study was conducted on 60 patients undergoing lower abdominal surgeries Combined spinal epidural anaesthesia was planned in all these 60 patients using two segment technique18 G epidural catheter was placed in L2L3 space and spinal anaesthesia was given at L3L4 space using 26 G Quinckes needle and 05 bupivacaine 3mlSensory motor block and hemodynamic parameters were monitored intraoperatively Postoperatively along with hemodynamic parameters visual analogue score VAS was observed and at VAS 4 study drug either butorphanol 1mg or tramadol 50mg was given through epidural catheter Onset of analgesia quality of analgesia duration of analgesia cardiorespiratory parameters and any side effects were monitored and documentedStatistical Analysis Data analysis was done using the SPSS Statistical Package for the Social Science Version 17 for windowDiscussion Mean onset of analgesia in Butorphanol group 1003 185 min was significantly faster than Tramadol group 1217 219 min Z 407 pConclusion Epidural butorphanol provides a rapid excellent but shorter duration of analgesia when compared to epidural tramadolKeywords Butorphanol Tramadol Postoperative analgesia Epidural analgesia
Authors and Affiliations
Aparna Abhijit Bagle, Priyanka Gulia, Sneha Sheelvanth, Anagha Patil, Tripti Nagdev
Keywords
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- EP ID EP476467
- DOI 10.18231/2394-4994.2018.0047
- Views 74
- Downloads 0
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