The postoperative analgesic effect of tramadol when used as subcutaneous local anesthetic

Recently, it has been shown that tramadol was an effective local anesthetic in minor surgery. In this study, its efficacy for relieving postoperative pain was evaluated. Forty patients undergoing minor surgery (lipoma excision and scar revision) under local anesthesia were included. The patients were randomly allocated into two groups: In group T (n = 20), 2 mg/kg tramadol, and in group L (n = 20), 1 mg/kg lidocaine were given subcutaneously. In both groups, the injection volume was 5 ml, containing 1/200,000 adrenalin. The degree of the erythema, burning sensation, and pain at the injection site were recorded. Incision response, which is a degree of the pain sensation during incision, was recorded and graded with the visual analog scale (VAS) 0-10. After incision, VAS values were recorded at 15-min intervals. When the VAS score of the pain during surgery exceeded 4, an additional 0.5 mg/kg of the study drug was injected and this dosage was added to the total amount. Patients were discharged on the same day. Subjects with VAS greater than or equal to4 were advised to take paracetamol as needed. No side effects were recorded in either group except for I patient complaining of nausea in group T at the 30th min of operation. After 24 h, patients were called and the time of first analgesic use and total analgesic dose taken during the postoperative period were recorded. During the 24 postoperative hours, 18 of 20 (90%) subjects did not need any type of analgesia in group T, whereas this number was 10 (50%) in group L (P < 0.05). The time span before taking first analgesic medication was longer (4.9 +/- 0.3 h) in group T than that of group L (4.4 +/- 0.7 h) (P < 0.05). We propose that tramadol can be used as an alternative drug to lidocaine for minor surgeries because of its ability to decrease the demand for postoperative analgesia.

Yazar Altunkaya, H
Ozer, Y
Kargi, E
Ozkocak, I
Hosnuter, M
Demirel, CB
Babuccu, O
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3633
Tek Biçim Adres 10.1213/01.ANE.0000135640.21229.A0
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ANESTHESIA AND ANALGESIA
Dergi Cilt Bilgisi 99
Dergi Sayısı 5
Sayfalar 1461 - 1464
Yayın Yılı 2004
Eser Adı
[dc.title]
The postoperative analgesic effect of tramadol when used as subcutaneous local anesthetic
Yazar
[dc.contributor.author]
Altunkaya, H
Yazar
[dc.contributor.author]
Ozer, Y
Yazar
[dc.contributor.author]
Kargi, E
Yazar
[dc.contributor.author]
Ozkocak, I
Yazar
[dc.contributor.author]
Hosnuter, M
Yazar
[dc.contributor.author]
Demirel, CB
Yazar
[dc.contributor.author]
Babuccu, O
Yayın Yılı
[dc.date.issued]
2004
Yayıncı
[dc.publisher]
LIPPINCOTT WILLIAMS & WILKINS
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Recently, it has been shown that tramadol was an effective local anesthetic in minor surgery. In this study, its efficacy for relieving postoperative pain was evaluated. Forty patients undergoing minor surgery (lipoma excision and scar revision) under local anesthesia were included. The patients were randomly allocated into two groups: In group T (n = 20), 2 mg/kg tramadol, and in group L (n = 20), 1 mg/kg lidocaine were given subcutaneously. In both groups, the injection volume was 5 ml, containing 1/200,000 adrenalin. The degree of the erythema, burning sensation, and pain at the injection site were recorded. Incision response, which is a degree of the pain sensation during incision, was recorded and graded with the visual analog scale (VAS) 0-10. After incision, VAS values were recorded at 15-min intervals. When the VAS score of the pain during surgery exceeded 4, an additional 0.5 mg/kg of the study drug was injected and this dosage was added to the total amount. Patients were discharged on the same day. Subjects with VAS greater than or equal to4 were advised to take paracetamol as needed. No side effects were recorded in either group except for I patient complaining of nausea in group T at the 30th min of operation. After 24 h, patients were called and the time of first analgesic use and total analgesic dose taken during the postoperative period were recorded. During the 24 postoperative hours, 18 of 20 (90%) subjects did not need any type of analgesia in group T, whereas this number was 10 (50%) in group L (P < 0.05). The time span before taking first analgesic medication was longer (4.9 +/- 0.3 h) in group T than that of group L (4.4 +/- 0.7 h) (P < 0.05). We propose that tramadol can be used as an alternative drug to lidocaine for minor surgeries because of its ability to decrease the demand for postoperative analgesia.
Açıklama
[dc.description]
WOS: 000224684400034
Açıklama
[dc.description]
PubMed: 15502049
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0003-2999
İlk Sayfa Sayısı
[dc.identifier.startpage]
1461
Son Sayfa Sayısı
[dc.identifier.endpage]
1464
Dergi Adı
[dc.relation.journal]
ANESTHESIA AND ANALGESIA
Dergi Sayısı
[dc.identifier.issue]
5
Dergi Cilt Bilgisi
[dc.identifier.volume]
99
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1213/01.ANE.0000135640.21229.A0
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3633
Görüntülenme Sayısı ( Şehir )
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Görüntülenme Sayısı ( Zaman Dağılımı )
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8
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
06 Ocak 2024 16:35
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recorded postoperative surgery patients during analgesic tramadol degree sensation analgesia lidocaine injection groups incision complaining period needed operation effects nausea either called patient except Recently During propose medication alternative surgeries because ability decrease demand longer
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