Postoperative Pain Management: Efficacy of Caudal Tramadol in Pediatric Lower Abdominal Surgery: A Randomized Clinical Study
| Author | Reza Farahmand Rad | en |
| Author | Farnad Imani | en |
| Author | Azadeh Emami | en |
| Author | Reza Salehi | en |
| Author | Ali Reza Ghavamy | en |
| Author | Ali Nima Shariat | en |
| Orcid | Reza Farahmand Rad [0000-0003-2783-6652] | en |
| Orcid | Farnad Imani [0000-0003-0814-0772] | en |
| Orcid | Azadeh Emami [0000-0002-6107-0139] | en |
| Orcid | Reza Salehi [0000-0003-2623-6305] | en |
| Orcid | Ali Reza Ghavamy [0000-0003-2623-6305] | en |
| Issued Date | 2021-08-31 | en |
| Abstract | Background: One of the methods of pain control after pediatric surgical procedures is regional techniques, including caudal block, despite their limitations. Objectives: In this study, the pain score and complications of caudal tramadol were evaluated in pediatrics following lower abdominal surgery. Methods: In this study, 46 children aged 3 to 10 years were allocated into two equal groups (R and TR) for performing caudal analgesia after lower abdominal surgery. The injectate contained 0.2% ropivacaine 1 mL/kg in the R group (control group) and tramadol (2 mg/kg) and ropivacaine in the TR group. The pain score, duration of pain relief, amount of paracetamol consumption, hemodynamic alterations, and possible complications at specific times (1, 2, and 6 hours) were evaluated in both groups. Results: No considerable difference was observed in the pain score between the groups in the first and second hours (P > 0.05). However, in the sixth hour, the TR group had a significantly lower pain score than the R group (P < 0.05). Compared to the R group, the TR group had a longer period of analgesia and lower consumption of analgesic drugs (P < 0.05). Heart rate and blood pressure differences were not significant between the two groups (P > 0.05). Similarly, the duration of operation and recovery time were not remarkably different between the two groups (P > 0.05). Complications had no apparent differences between these two groups, as well (P > 0.05). Conclusions: In this study, the addition of tramadol to caudal ropivacaine in pediatric lower abdominal surgery promoted pain relief without complications. | en |
| DOI | https://doi.org/10.5812/aapm.119346 | en |
| URI | https://brieflands.com/journals/aapm/articles/119346 | en |
| Keyword | Tramadol | en |
| Keyword | Ropivacaine | en |
| Keyword | Caudal Block | en |
| Keyword | Pediatric | en |
| Keyword | Lower Abdominal Surgery | en |
| Keyword | Postoperative Pain | en |
| Publisher | Brieflands | en |
| Title | Postoperative Pain Management: Efficacy of Caudal Tramadol in Pediatric Lower Abdominal Surgery: A Randomized Clinical Study | en |
| Type | Research Article | en |
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