Evaluation of Anesthetic and Analgesic Effects of Intrathecal Administration of Tramadol vs Fentanyl.
| Autor: | Ozer S; Department of Anestesiology and Reanimation, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Turk HS; Department of Anestesiology and Reanimation, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | Sisli Etfal Hastanesi tip bulteni [Sisli Etfal Hastan Tip Bul] 2019 Mar 21; Vol. 53 (1), pp. 16-20. Date of Electronic Publication: 2019 Mar 21 (Print Publication: 2019). |
| DOI: | 10.14744/SEMB.2018.19327 |
| Abstrakt: | Objectives: The aim of this study was to examine the anesthetic and analgesic effects of intrathecal tramadol compared with intrathecal fentanyl added to bupivacaine and that of a placebo added to bupivacaine in patients undergoing elective transurethral procedures. Methods: The anesthetic and analgesic efficacy of intrathecal tramadol hydrochloride (HCL) was assessed against a local anesthetic in this prospective, double-blind, randomized study of 146 American Society of Anesthesiologists classification I-III patients who underwent an elective transurethral procedure. A lumbar intrathecal block was performed using bupivacaine heavy 0.5 % combined with either tramadol HCL, fentanyl, or saline for surgery. Each group received 12.5 mg bupivacaine with 50 μg (1 mL) fentanyl, 12.5 mg bupivacaine with 10 mg (1 mL) tramadol, or 12.5 mg bupivacaine with 1 mL preservative-free saline. Results: The saline group experienced more pain than patients in the tramadol HCL and fentanyl groups (p<0.05). The mean time to regression of the sensory block to the S1-2 segment was significantly longer in the fentanyl group compared with the tramadol and saline groups (p<0.05). The incidence of complications was similar. Conclusion: Fentanyl added to a local anesthetic provided longer postoperative analgesia compared with tramadol added to a local anesthetic. Competing Interests: Conflict of Interest: There are no conflicts of interests among the authors. (Copyright: © 2019 by The Medical Bulletin of Sisli Etfal Hospital.) |
| Databáze: | MEDLINE |
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