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Comparative Studies | Anaesthesiology | India | Volume 12 Issue 4, April 2023 | Popularity: 5.8 / 10

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Comparative Study of Effect of Intrathecal Tramadol 20 Mg Use as Adjuvant with Hyperbaric Bupivacaine and Hyperbaric Bupivacaine for Postoperative Analgesia in Infraumblical Surgeries

Dr. Jitendra Sharma, Dr. Rajan Nanda

Abstract: Background and aim: To assess and compare the analgesic effect of intrathecal 20mg tramadol as anadjuvant to intrathecal 0.5% hyperbaric bupivacaine and 0.5% hyperbaric bupivacaine alone in infraumbilical surgeries, with the following objectives. Difference in mean time duration for need of first rescue analgesia. Methodology: The present study was conducted on 60 patients divided into two group 30 each Group A received 3.0 ml of 0.5% hyperbaric bupivacaine + 0.4 ml of tramadol (20mg) intrathecally. Group B received 3.0 ml of 0.5% hyperbaric bupivacaine + 0.4 ml of normal saline intrathecally. Patients were observed for vital parameters and sensory & motor block onset & duration intra operatively & post operatively. Result: The mean time for onset of sensory block was 2.24 ? 0.388min. in Group A as compared to 3.51 ? 0.612 min. in Group B. The difference in the mean time for onset of sensory block was statistically significant (P<0.05). The mean duration of effective analgesia was 364.58 ? 11.146min. in Group A as compared to 203.47 ? 7.995 min. in Group B. The difference in the mean total duration of effective analgesia was statistically significant (P<0.05). Conclusion: From this study we concluded that tramadol can be safely used for adjuvant with hyperbaric bupivacaine for intrathecal use for better sensory and motor block characteristics and post operative pain management.

Keywords: Tramadol, Bupivacaine, Analgesia, Sensory Block, Motor Block

Edition: Volume 12 Issue 4, April 2023

Pages: 959 - 963

DOI: https://www.doi.org/10.21275/SR23412002208

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