EFFECT OF INTRATHECAL TRAMADOL ON SUBARACHNOID BLOCK BY 0.5% BUPIVACAINE

Dr. Rakesh Bhaisare, Dr. Pankaj Machwe, Dr. Harsh Salankar

Abstract


Drugs when given intravenously in adequate doses for pain relief produce reliable pharmacokinetic curves. But this route
produces unwanted effects, as large quantities of drugs are needed for adequate analgesia. In present study, effect of
intrathecal tramadol on subarachnoid block produced by 0.5% bupivacaine was conducted at Mayo hospital, Nagpur. Visual analog scale score
was statistically highly signicant in Group A till 6 hours as compared to Group B. After this period, patients in Group A demanded rescue
analgesic. Visual analog scale score was comparatively less in Group B at all the stages of observation over 24 hours as shown by the p value.
Result of the study, it is concluded that 25 mg of tramadol can be used intrathecally along with 0.5% bupivacaine to prevent the postoperative pain
for 6-8 hours duration; it has no effect on the quality of spinal subarachnoid block produced by 0.5% bupivacaine.


Keywords


Bupivacaine, Tramadol, opioid analgesia, spinal anesthesia.

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