Preemptive Analgesia with Paracetamol and Tramadol in Pediatric Adenotonsillectomy

Background and Aims:Caudal block is a common technique for pediatric analgesia for infraumblical surgeries. Because of the short duration of analgesia with bupivacaine alone various additive have been used to prolong the action of bupivacaine. The present study was aimed to evaluate the analgesic effect of tramadol or fentanyl added to bupivacaine for infraumblical surgeries in pediatric patients.Materials and Methods:We conducted a prospective, randomized, single-blind controlled trial. After written informed consent from parents, 100 patients belonging to American Society of Anesthesiologist physical status I-II, in the age group of 1-12 years, of either sex undergoing infraumblical surgery under general anesthesia were divided into two groups. Group BT received 1 ml/kg of 0.25% bupivacaine with tramadol 2 mg/kg in normal saline and Group BF received 1 ml/kg of 0.25% bupivacaine with fentanyl 2 μg/kg in normal saline with maximum volume of 12 ml in both groups. All patients were assessed intraoperatively for hemodynamic changes, the requirement of sevoflurane concentration, as well as postoperatively for pain by using FLACC (F = Face, L = Leg, A = Activity, C = Cry, C = Consolability), pain score and for sedation by using four point sedation score.Results:The mean duration of analgesia was 10–18 h in Group BT while in Group BF it was 7-11 h. The postoperatively period up to 1½ h, Group BF had higher sedation score up to two as compared to that below one on Group BT.Conclusion:Caudal tramadol significantly prolongs the duration of analgesia as compared to caudal fentanyl without any side effects.

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“…The use of FLACC is a valid and reliable tool for assessing procedural pain in children aged 5-16 years. [ 6 7 8 ]…”

Section: Methodsmentioning

confidence: 99%

Comparison of caudal tramadol versus caudal fentanyl with bupivacaine for prolongation of postoperative analgesia in pediatric patients

Solanki

Jansari

2016

Saudi J Anaesth

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“…FLACC (F = Face, L = Leg, A = Activity, C = Cry, C = Consolability), score (maximum score of 10) at 1 h interval for first 3 h and thereafter every 2 h interval till score >4, and rescue analgesic was given. The use of FLACC is a valid and reliable tool for assessing procedural pain in children aged 5-16 years [6][7][8]. The Collected data were presented as a mean ± standard deviation, numbers, and percentages as appropriate.…”

Section: Journal Of Anesthesia and Intensive Care Medicinementioning

confidence: 99%

Comparison of Caudal Bupivacaine, Bupivacaine with Fentanyl and Bupivacaine with Tramadol Administration for Post Operative Analgesia in Children

Pavithra¹

2018

JAICM

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Objective: To compare the effectiveness of caudal bupivacaine, bupivacaine plus fentanyl and bupivacaine plus tramadol for post operative analgesia in children. Materials and methods:The study was conducted on 75 children of ASA I and II physical status aged 1 to 12 years undergoing elective infraumbilical surgeries. Patients were divided into 3 groups and the following were given in the caudal epidural space after the induction of anesthesia: a) Group I: 0.125% Inj. Bupivacaine 1ml/kg b) Group II: 0.125 Inj. Bupivacaine 1ml/kg plus Inj. Fentanyl 1mcg/kg c) Group III: 0.125% Inj. Bupivacaine 1ml/kg plus Inj. Tramadol 2mg/kg Results: Group III had a lower pain score, prolonged mean duration of analgesia, less requirement for rescue analgesics compared to the other two groups. Conclusion:Addition of Tramadol to Bupivacaine provides prolonged and good quality post operative analgesia in comparison with Bupivacaine alone or with Fentanyl in Caudal Block in the post operative period.

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“…A total of 189 randomized controlled and comparison trials met the inclusion criteria for analysis 18–206 . A PRISMA diagram outlining the literature search is shown in Figure 1, and the risk of bias graph is shown in Figure 2.…”

Section: Resultsmentioning

confidence: 99%

A scoping review of randomized clinical trials for pain management in pediatric tonsillectomy and adenotonsillectomy

Shih

Long

Pecha

et al. 2022

World j. otorhinolaryngol.-head neck surg.

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Preemptive Analgesia with Paracetamol and Tramadol in Pediatric Adenotonsillectomy

Cited by 5 publications

References 13 publications

Comparison of caudal tramadol versus caudal fentanyl with bupivacaine for prolongation of postoperative analgesia in pediatric patients

Comparison of caudal tramadol versus caudal fentanyl with bupivacaine for prolongation of postoperative analgesia in pediatric patients

Comparison of Caudal Bupivacaine, Bupivacaine with Fentanyl and Bupivacaine with Tramadol Administration for Post Operative Analgesia in Children

A scoping review of randomized clinical trials for pain management in pediatric tonsillectomy and adenotonsillectomy

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