Caudal tramadol bupivacaine combination for postoperative pain releif in subumbilical paediatric surgery

Authors

  • Md Shafiqul Islam Dept. of Anaesthesiology, Shaheed Suhrawardy Medical College and Hospital, Dhaka
  • Md Tajul Islam Anaethesia, 50 ? bedded Hospital, Tongi, Gazipur
  • Dilip Kumar Bhowmick Dept. of Anaesthesia, Square Hospital Ltd., Dhaka
  • Moinul Hossain Dept. of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • AKM Akhtaruzzaman Dept. of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Shafiqur Rahman Uttara Adhunick Medical College and Hospital, Uttara, Dhaka

DOI:

https://doi.org/10.3329/jbsa.v23i2.18172

Keywords:

Caudal tramadol-bupivacaine mixture, paediatric post operative analgesia

Abstract

Background Regional anaesthesia in children provides the advantage of reduced requirements of other anaesthetic agents and of excellent analgesia introduction. Rational use of adjuvant with local anaesthetic in caudal route for prolonged optimal analgesia in paediatric population.

Objectives To evaluate the quality and duration of postoperative analgesia in children undergoing subumbilical surgeries with caudally administered mixture of tramadol and bupivacaine. Methods Sixty children of ASA physical status I & II scheduled for elective subumbilical surgery were included in this prospective case-control study. Children were randomly assigned to receive caudal analgesia with plain bupivacaine (Group-I) and a mixture of tramadol-bupivacaine (Group-II) respectively. Blood pressure, heart rate, oxygen saturation and duration of analgesia were recorded postoperatively.

Results Study revealed that mean duration of caudal analgesia in Group-I and Group-II were 245.67 ± 6.94 and 612.05 ± 16.49 minutes respectively which was significantly longer (P<0.001) in Group-II. Mean number of postoperative analgesics were 2.97±0.50 and 1.78±0.50 in Group-I and Group-II which was statistically highly significant (P=0.000). Postoperative nausea and vomiting was significantly high in Group-II (P=0.019).

Conclusion Combination of tramadol with bupivacaine results in prolonged analgesia when administered in caudal route. In addition, tramadol is more useful in young children considering less respiratory depression than other opioids.

DOI: http://dx.doi.org/10.3329/jbsa.v23i2.18172

Journal of BSA, 2009; 23(2): 42-46

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Published

2014-03-02

How to Cite

Islam, M. S., Islam, M. T., Bhowmick, D. K., Hossain, M., Akhtaruzzaman, A., & Rahman, S. (2014). Caudal tramadol bupivacaine combination for postoperative pain releif in subumbilical paediatric surgery. Journal of the Bangladesh Society of Anaesthesiologists, 23(2), 42–46. https://doi.org/10.3329/jbsa.v23i2.18172

Issue

Vol. 23 No. 2 (2010)

Section

Original Articles