Abstract:Intravenous regional anesthesia (IVRA) is used in outpatient hand surgery as an easily applicable and cost-effective technique with clinical advantages. The present study aimed to investigate the effects of addition of systemic tramadol or adjunct tramadol to lidocaine for IVRA in patients undergoing hand surgery. American Society of Anesthesiologists (ASA) I-II patients (n = 60) who underwent hand surgery were included. For this purpose, only lidocaine (LDC), lidocaine+adjunct tramadol (LDC+TRA group), or lid… Show more
“…The results of this research are in line with the research conducted by Yektag and Gümüg (2016). They arrived at the conclusion that prescribing tramadol for local anesthesia has numerous clinical advantages such as shorter commencement of sensory and mobile block and reduction of pain and less need for painkillers and better conditions during the operation.…”
Section: Bioscience Biotechnology Research Communicationssupporting
Curettage is one of the most common operations among women. Several methods are used to reduce post-operation pain. The present research seeks to study the effect of adding morphine and tramadol to lidocaine in para cervical block on post-operation analgesia. This is a double-blind clinical trial conducted on 120 women applying for curettage. The participants were divided into three completely random groups. The fi rst group received 5cc lidocaine 1.5% along with 1 mg (1cc) morphine (totally 6cc), the second group received lidocaine 1.5% and 2 mg (1cc) tramadol, and the third group received 5cc lidocaine with 1cc distilled water as placebo for para cervical block. The length and intensity of pain was registered based upon VAS table and time for requesting painkiller after operation for all three groups. The pain score in the 0th, 30th, and 60th minute in those groups receiving morphine and tramadol was less than what was observed in the group who had received lidocaine (P < 0.05), but the pain score in all times in the group who had received tramadol was signifi cantly less than other groups (P<0.05). The fi rst painkiller in morphine and tramadol groups was asked much later than lidocaine group (P < 0.05) but no signifi cant difference was observed between the morphine and tramadol groups. The side effects were similar in all groups with lower levels of Bradycardia observed in placebo group (P < 0.05). Morphine and tramadol were more effective than lidocaine creating para cervical block and analgesia and reduction of pain following the operation but tramadol exhibited a lower pain score throughout the research. The average length of analgesia in placebo group was less than what was observed in other two groups. However, no signifi cant difference was observed between tramadol and morphine groups in terms of the length of analgesia after operation.
“…The results of this research are in line with the research conducted by Yektag and Gümüg (2016). They arrived at the conclusion that prescribing tramadol for local anesthesia has numerous clinical advantages such as shorter commencement of sensory and mobile block and reduction of pain and less need for painkillers and better conditions during the operation.…”
Section: Bioscience Biotechnology Research Communicationssupporting
Curettage is one of the most common operations among women. Several methods are used to reduce post-operation pain. The present research seeks to study the effect of adding morphine and tramadol to lidocaine in para cervical block on post-operation analgesia. This is a double-blind clinical trial conducted on 120 women applying for curettage. The participants were divided into three completely random groups. The fi rst group received 5cc lidocaine 1.5% along with 1 mg (1cc) morphine (totally 6cc), the second group received lidocaine 1.5% and 2 mg (1cc) tramadol, and the third group received 5cc lidocaine with 1cc distilled water as placebo for para cervical block. The length and intensity of pain was registered based upon VAS table and time for requesting painkiller after operation for all three groups. The pain score in the 0th, 30th, and 60th minute in those groups receiving morphine and tramadol was less than what was observed in the group who had received lidocaine (P < 0.05), but the pain score in all times in the group who had received tramadol was signifi cantly less than other groups (P<0.05). The fi rst painkiller in morphine and tramadol groups was asked much later than lidocaine group (P < 0.05) but no signifi cant difference was observed between the morphine and tramadol groups. The side effects were similar in all groups with lower levels of Bradycardia observed in placebo group (P < 0.05). Morphine and tramadol were more effective than lidocaine creating para cervical block and analgesia and reduction of pain following the operation but tramadol exhibited a lower pain score throughout the research. The average length of analgesia in placebo group was less than what was observed in other two groups. However, no signifi cant difference was observed between tramadol and morphine groups in terms of the length of analgesia after operation.
“…In addition, [T] group had significantly better performance in comparison with [M] group except for the onset of sensory and motor block . Table [3] shows significantly reduced pain VAS in the [T] group than the other two groups in the first 15 minutes. However, no substantial changes in pain VAS were discovered between the investigated groups at further assessments.…”
Background: Intravenous regional anesthesia [IVRA] is a simple and effective anesthetic method for providing regional anesthesia of the upper limbs during carpal tunnel release surgery [CTRS]. However, the procedure is associated with significant postoperative pain and adjuvant analgesic agents are recommended.
TheAim of The Work: This study aimed to compare the analgesic effects of magnesium sulfate and tramadol when added to lidocaine for IVRA during CTRS. Methods: In this double-blinded, randomized clinical trial, 60 ASA I-II patients eligible for elective CTRS with IVRA were randomly allocated into one of 3 groups. The first group [lidocaine group] received IVRA with 40 ml lidocaine 0.5%. The second group [lidocaine + tramadol group] received IVRA with40 ml 0.5% lidocaine and tramadol 1mg/kg. The third group [lidocaine + magnesium sulphate group] received IVRA with 40 ml 0.5% lidocaine and magnesium sulfate 10 mg/kg and normal saline. Outcome parameters included time to onset of sensory and motor block, time to onset of tourniquet pain, need of intraoperative analgesia, intraoperative consumption of fentanyl, duration of postoperative analgesia and pain intensity were noted in each patient.Results: Comparison between the studied groups regarding the outcome parameters. The Lidocaine + Tramadol and the Lidocaine + Magnesium groups achieved better performance in all the studied parameters in comparison to the Lidocaine group. In addition, Lidocaine + Tramadol groups had significantly better performance in comparison to the Lidocaine + Magnesium group. No significant differences were reported between the studied groups regarding post-operative complications Conclusions: Use of tramadol and magnesium sulphate as adjuvants to lidocaine achieved better performance in all the studied parameters in comparison to the lidocaine only. In addition, tramadol had significantly better performance in comparison to magnesium sulphate without significant side effects.
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