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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 9, Sept 2014 pp 566-569
Research Article
Comparison between epidural tramadol and epidural fentanyl for post operative analgesia
Jitendra Raghunath Waghmare1, Sudhir Bhope2
1Assistant Professor, 2Professor and HOD, Department of Anesthesia, IIMSR Medical College Warudi, Badnapur, Jalna, Maharashtra, INDIA.
Abstract
This study was carried out to compare the analgesic efficacy and side effects of epidural tramadol and that of epidural fentanyl. A total of 60 adult patients of ASA grade I and II undergoing general surgery (lower abdominal), gynecological and orthopedic (lower limb) surgeries were selected for the study. The patients were randomly divided into two groups. Group A Tramadol group, and B Fentanyl group with 30 patients each, using the prospective study method. Group ‘A’ received 1 mg/kg of Inj. Tramadol as a single bolus dose diluted in 10 ml of normal saline. Group ‘B’ received 1 mcg/kg of Inj. Fentanyl as a single bolus dose diluted in 10 ml of normal saline. The patients were randomly given epidural tramadol or epidural fentanyl when patient complained of pain post operatively with VAS 2 or 3. Patients were closely monitored in the post-operative period till they had pain relief. Pulse rate, blood pressure, respiratory rate, and oxygen saturation were recorded at 30 min. intervals. Assessment of pain relief was done using visual analogue scale and occurrence of side effects like nausea, vomiting, urinary retention, itching, respiratory depression were noted. The onset, duration and degree of analgesia and the side effects were analyzed using ‘Z’ test and paired ‘t’ test. These results compared with studies of other workers.
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