Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy.
Background: Inguinal herniotomy is a common surgical procedure in children. Wound infiltration of local anesthetics during the procedure is a standard technique for post-operative analgesia. Recently, tramadol is shown to be effective analgesic if used locally also. This study was conducted to comp...
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| Format: | Article |
| Language: | English |
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Karnali Academy of Health Sciences
2021-01-01
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| Series: | Journal of Karnali Academy of Health Sciences |
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| Online Access: | https://www.jkahs.org.np/jkahs/index.php/jkahs/article/view/243 |
| _version_ | 1797393258312105984 |
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| author | Geha Raj Dahal Kanishk Dokania Pramesh Sunder Shrestha Rameshwar Prasad Pokharel |
| author_facet | Geha Raj Dahal Kanishk Dokania Pramesh Sunder Shrestha Rameshwar Prasad Pokharel |
| author_sort | Geha Raj Dahal |
| collection | DOAJ |
| description |
Background: Inguinal herniotomy is a common surgical procedure in children. Wound infiltration of local anesthetics during the procedure is a standard technique for post-operative analgesia. Recently, tramadol is shown to be effective analgesic if used locally also. This study was conducted to compare the post-operative pain after local infiltration of bupivacaine and tramadol.
Methods: This study was a double blinded randomized controlled trial conducted at pediatric surgery unit of Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal. A total of 76 children were operated for inguinal hernia during the study period and sixteen children were excluded. Remaining 60 children were randomized into 2 groups: tramadol (T group) and bupivacaine (B group). T group received tramadol and B group received bupivacaine as local wound infiltration at the time of herniotomy. Post - operative pain was evaluated by ‘Modified pain score for children’. Pain score and other variables were compared between the groups.
Results: A total of 60 children were randomized into T and B group. Demographic data was comparable. Pain free interval in T group was 7.43 ± 4.41 hours and B group was 6.70 ± 2.46 hours. It was statistical not significant (P=0.42). Pain score at 1, 4, 8, 12 and 24 hours was also similar in the two groups.
Conclusion: Local infiltration of Tramadol is as effective as Bupivacaine for postoperative analgesia in children undergoing herniotomy. Tramadol can be used as local infiltration for effective post - operative analgesia.
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| first_indexed | 2024-03-09T00:00:41Z |
| format | Article |
| id | doaj.art-57da0a8927d94a929994ee75c021cf47 |
| institution | Directory Open Access Journal |
| issn | 2616-0064 2676-1327 |
| language | English |
| last_indexed | 2024-03-09T00:00:41Z |
| publishDate | 2021-01-01 |
| publisher | Karnali Academy of Health Sciences |
| record_format | Article |
| series | Journal of Karnali Academy of Health Sciences |
| spelling | doaj.art-57da0a8927d94a929994ee75c021cf472023-12-12T18:49:06ZengKarnali Academy of Health SciencesJournal of Karnali Academy of Health Sciences2616-00642676-13272021-01-0133Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy.Geha Raj Dahal0Kanishk Dokania1Pramesh Sunder Shrestha2Rameshwar Prasad Pokharel3Associate Professor, Pediatric surgery Unit, Institute of Medicine, Tribhuvan University Teaching HospitalMCh Resident, Department of Urology, MS Ramaiah Medical College, Bangalore, IndiaAssociate Professor, Dept. of Anaesthesiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, NepalProfessor, Pediatric surgery Unit, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal Background: Inguinal herniotomy is a common surgical procedure in children. Wound infiltration of local anesthetics during the procedure is a standard technique for post-operative analgesia. Recently, tramadol is shown to be effective analgesic if used locally also. This study was conducted to compare the post-operative pain after local infiltration of bupivacaine and tramadol. Methods: This study was a double blinded randomized controlled trial conducted at pediatric surgery unit of Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal. A total of 76 children were operated for inguinal hernia during the study period and sixteen children were excluded. Remaining 60 children were randomized into 2 groups: tramadol (T group) and bupivacaine (B group). T group received tramadol and B group received bupivacaine as local wound infiltration at the time of herniotomy. Post - operative pain was evaluated by ‘Modified pain score for children’. Pain score and other variables were compared between the groups. Results: A total of 60 children were randomized into T and B group. Demographic data was comparable. Pain free interval in T group was 7.43 ± 4.41 hours and B group was 6.70 ± 2.46 hours. It was statistical not significant (P=0.42). Pain score at 1, 4, 8, 12 and 24 hours was also similar in the two groups. Conclusion: Local infiltration of Tramadol is as effective as Bupivacaine for postoperative analgesia in children undergoing herniotomy. Tramadol can be used as local infiltration for effective post - operative analgesia. https://www.jkahs.org.np/jkahs/index.php/jkahs/article/view/243Perdiatric herniotomyTramadolBupivacainePost operative pain |
| spellingShingle | Geha Raj Dahal Kanishk Dokania Pramesh Sunder Shrestha Rameshwar Prasad Pokharel Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy. Journal of Karnali Academy of Health Sciences Perdiatric herniotomy Tramadol Bupivacaine Post operative pain |
| title | Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy. |
| title_full | Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy. |
| title_fullStr | Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy. |
| title_full_unstemmed | Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy. |
| title_short | Efficacy of Local Infiltration of Tramadol and Bupivacaine for Postoperative Analgesia in Children Following Herniotomy. |
| title_sort | efficacy of local infiltration of tramadol and bupivacaine for postoperative analgesia in children following herniotomy |
| topic | Perdiatric herniotomy Tramadol Bupivacaine Post operative pain |
| url | https://www.jkahs.org.np/jkahs/index.php/jkahs/article/view/243 |
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