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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 5, April 2014 pp 227-232

Research Article

Post operative pain relief in lower abdominal and lower limb surgeries using fentanyl and tramadol – a comparative study

Ashwini Kumar Patel¹, Sugandha Sirohi², Ajay Vatal³, Dhruvendra Pandey⁴

¹Senior Resident, Anaesthesiology, Jag Pravesh Chandra Hospital, New Delhi, INDIA.

²PhD Scholar, Institute of Management Studies, DAVV, Indore, Madhya Pradesh, INDIA.

³Professor and Head, Anaesthesiology, Gandhi Medical College, Bhopal, Madhya Pradesh, INDIA.

Academic Editor : Dr. Bhanap P. L.

Introduction: This clinical study is being done to compare and evaluate the drugs, 0.5% Bupivacaine, Tramadol with 0.5%, Bupivacaine and Fentanyl with 0.5%, for Postoperative Pain Relief in Lower Abdominal and Lower Limb Surgeries. Methodology: 90 patients were given either of the three set of i.v. drugs randomly so that each group comprised 30 patients. Group A-3 ml (15 mg) 0.5% Bupivacaine, Group B-3 ml (15 mg) Bupivacaine 0.5% heavy + 25 mg (0.5 ml) Tramadol hydrochloride, Group C-3 ml (15 mg) Bupivacaine 0.5% heavy +25 mg (0.5 ml) Fentanyl citrate. Observation: On intergroup comparison the difference is statistically highly significant for duration of sensory blockade. Though duration of sensory blockade is prolonged with both Tramadol and Fentanyl, it is more prolonged with Fentanyl. Conclusion: The mean duration of postoperative pain relief was significantly longer in the range of 6.15±1.02 hours with intrathecal Fentanyl when compared to 4.21±0.91 hours with intrathecal Tramadol. Intraoperative and postoperative vital parameters are not affected by the addition of Fentanyl or Tramadol to Bupivacaine for subarachnoid block. Fentanyl or Tramadol given intrathecally with Bupivacaine does not affect the characteristics subarachnoid block. Thus it can be concluded the Fentanyl in a dose of 25 mg intrathecally provides longer postoperative pain relief compared to intrathecal 25mg Tramadol with appreciable less incidence of side effects.