TRAMADOL VERSUS PETHIDINE ADDED TO LIDOCAINE FOR INTRAVENOUS REGIONAL ANAESTHESIA
Mariam Nimr Ramsis Maximose;
Abstract
A comparative study was done on 60 patients ASA physical status I
• and II to compare tramadol versus pethidine added to lidocaine for IVRA. Patients were divided into three groups of 20 patients each, received IVRA of the upper limb with 40 ml solution of 0.5% lidocaine in lidocaine group,
40 ml solution of 0.25% pethidine added to 0.5% lidocaine in pethidine group , and 40 ml solution of 0.25% tramadol added to 0.5% lidocaine in tramadol group• :niey were assessed for onset and recovery of sensory•and motor block, VAS of tourniquet and forearm pain, presence or absence of postoperative pain and time to first analgesic requirements. The signs and symptoms after tourniquet deflation were recorded. Monitoring of blood pressure, pulse rate and respiratory rate for each patient was done.
There was no statistical difference between the three groups as regard
age, sex, weight and height
Patients in all the three groups were comparable with respect to changes in systOlic, diastolic and respiratory rate throughout the procedure. They were stable intraoperatively and after tourniquet deflation with minimal variations which were statistically not significant
The mean heart rate in lidocaine group was significantly decreased at
30, 40, 50 and 60 minutes intraoperatively and at 5, 10 and 15 minutes after' tourniquet deflation (p < 0.05).
In pethidine group, the mean heart rate was significantly decreased at
30, 40, 50 and 60 minutes intraoperatively (p <0.5) and increased significantly at 5 minutes (p < 0.01), 10 and 15 minutes (p < 0.05) after tourniquet deflation.
• and II to compare tramadol versus pethidine added to lidocaine for IVRA. Patients were divided into three groups of 20 patients each, received IVRA of the upper limb with 40 ml solution of 0.5% lidocaine in lidocaine group,
40 ml solution of 0.25% pethidine added to 0.5% lidocaine in pethidine group , and 40 ml solution of 0.25% tramadol added to 0.5% lidocaine in tramadol group• :niey were assessed for onset and recovery of sensory•and motor block, VAS of tourniquet and forearm pain, presence or absence of postoperative pain and time to first analgesic requirements. The signs and symptoms after tourniquet deflation were recorded. Monitoring of blood pressure, pulse rate and respiratory rate for each patient was done.
There was no statistical difference between the three groups as regard
age, sex, weight and height
Patients in all the three groups were comparable with respect to changes in systOlic, diastolic and respiratory rate throughout the procedure. They were stable intraoperatively and after tourniquet deflation with minimal variations which were statistically not significant
The mean heart rate in lidocaine group was significantly decreased at
30, 40, 50 and 60 minutes intraoperatively and at 5, 10 and 15 minutes after' tourniquet deflation (p < 0.05).
In pethidine group, the mean heart rate was significantly decreased at
30, 40, 50 and 60 minutes intraoperatively (p <0.5) and increased significantly at 5 minutes (p < 0.01), 10 and 15 minutes (p < 0.05) after tourniquet deflation.
Other data
| Title | TRAMADOL VERSUS PETHIDINE ADDED TO LIDOCAINE FOR INTRAVENOUS REGIONAL ANAESTHESIA | Other Titles | مقارنة بين اعطاء عقار الترامادول مضافا الى الزيلوكين وعقار البتدين مضافا الى الزيلوكين فى التخدير الوريدى الموضعى | Authors | Mariam Nimr Ramsis Maximose | Issue Date | 2005 |
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