Comparative study of duration of analgesia with epidural bupivacaine and bupivacaine with tramadol in lower limb surgeries

Authors

  • Dipti Saxena Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India
  • Sadhana Sanwatsarkar Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India
  • Atul Dixit Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India
  • Bipin Arya Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20171833

Keywords:

Analgesia, Bupivacaine, Epidural, Lower limb surgery, Tramadol

Abstract

Background: The administration of local anaesthetic and opioid mixture via epidural route is excellent for post-operative pain during lower limb surgeries. This combination provides better quality of analgesia, lower side effects and high level of patient satisfaction. Therefore, this study was taken up to evaluate the efficacy safety, tolerance and side effects for the combination of tramadol and bupivacaine in the management of post-operative pain.

Methods: This was a prospective study where a total of 40 patients; 20 each in group I and II were selected. Patients who were admitted for lower limb surgeries   in age range of 18-50yrs and belonged to ASA grade I &II.  Group A was given epidural bupivacaine 0.5% and group B was given epidural bupivacaine 0.5% with tramadol 50mg. The parameters studied were onset of action, quality of anesthesia, degree of motor blockade, duration of analgesia, hemodynamic alterations, intraoperative and postoperative complications. Pain was evaluated with verbal score. Results were evaluated statistically.

Results: The mean duration of analgesia was significantly longer in patients with tramadol. The quality of analgesia and pain scores were better in patients who were administered tramadol.  The number of drug doses required was significantly reduced by addition of tramadol.

Conclusions: Tramadol is a safe and effective adjuvant to epidural bupivacaine for prolongation of total duration of analgesia in lower limb surgeries.

Author Biographies

Dipti Saxena, Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India

associte professor
department of anesthesiology
Sri Aurobindo Institute of Medical Sciences,
Indore

Sadhana Sanwatsarkar, Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India

 professor & Head
department of anesthesiology
Sri Aurobindo Institute of Medical Sciences,
Indore

Atul Dixit, Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India

 professor
department of anesthesiology
Sri Aurobindo Institute of Medical Sciences,
Indore

Bipin Arya, Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India

associte professor
department of anesthesiology
Sri Aurobindo Institute of Medical Sciences,
Indore

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Published

2017-04-26

How to Cite

Saxena, D., Sanwatsarkar, S., Dixit, A., & Arya, B. (2017). Comparative study of duration of analgesia with epidural bupivacaine and bupivacaine with tramadol in lower limb surgeries. International Journal of Research in Medical Sciences, 5(5), 2003–2010. https://doi.org/10.18203/2320-6012.ijrms20171833

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Original Research Articles