Evaluation of continuous epidural tramadol and bupivacaine combination for postoperative analgesia

S. D'Souza, A. Prasanna

Research output: Contribution to journalArticle

Abstract

Objectives: Determine the effectiveness of continuous administration of 0.25 % Bupivacaine and Tramadol in the epidural space for major abdominal and lower limb surgery. Design: In the post operative ward a solution containing 0.25 % Bupivacaine and 0.6 mg Tramadol per milliliter was infused through epidural catheter placed at T12-L1 and L2-L3 space depending on the surgery with a Bard PCA 1 Pump at a rate of 4 ml/hr for 15 to 72 hours. Pain relief was evaluated by VAS at 1st, 4th, 24th, 36th and 48th hours. Subjects: Fifty three patients between 16-76 years of either sex undergoing abdominal and lower limb procedure with ASA status I-III were studied. Results: 56.6 % had 50 % pain relief in the 1st hour and 81 % had well to excellent (70 - 90 %) relief by 4th hour. 3.8 % of patients had urinary retention as complication. The sedation score ranged from 0 - fully awake to SA - normal sleep but easily arousable. Conclusion: The continuous infusion of tramadol and bupivacaine gives good relief in major abdominal and lower limb surgeries with leas side effects.

Original languageEnglish
JournalBahrain Medical Bulletin
Volume18
Issue number3
Publication statusPublished - 01-09-1996
Externally publishedYes

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Tramadol
Bupivacaine
Analgesia
Lower Extremity
Epidural Space
Pain
Passive Cutaneous Anaphylaxis
Urinary Retention
Sleep
Catheters

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Evaluation of continuous epidural tramadol and bupivacaine combination for postoperative analgesia",
abstract = "Objectives: Determine the effectiveness of continuous administration of 0.25 {\%} Bupivacaine and Tramadol in the epidural space for major abdominal and lower limb surgery. Design: In the post operative ward a solution containing 0.25 {\%} Bupivacaine and 0.6 mg Tramadol per milliliter was infused through epidural catheter placed at T12-L1 and L2-L3 space depending on the surgery with a Bard PCA 1 Pump at a rate of 4 ml/hr for 15 to 72 hours. Pain relief was evaluated by VAS at 1st, 4th, 24th, 36th and 48th hours. Subjects: Fifty three patients between 16-76 years of either sex undergoing abdominal and lower limb procedure with ASA status I-III were studied. Results: 56.6 {\%} had 50 {\%} pain relief in the 1st hour and 81 {\%} had well to excellent (70 - 90 {\%}) relief by 4th hour. 3.8 {\%} of patients had urinary retention as complication. The sedation score ranged from 0 - fully awake to SA - normal sleep but easily arousable. Conclusion: The continuous infusion of tramadol and bupivacaine gives good relief in major abdominal and lower limb surgeries with leas side effects.",
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Evaluation of continuous epidural tramadol and bupivacaine combination for postoperative analgesia. / D'Souza, S.; Prasanna, A.

In: Bahrain Medical Bulletin, Vol. 18, No. 3, 01.09.1996.

Research output: Contribution to journalArticle

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