Intraperitoneal tramadol and bupivacaine for postoperative pain in abdominal surgery
Abstract
Postoperative pain is acute secondary to direct trauma caused during surgery. Objective: To determine the effectiveness of intraperitoneal tramadol and bupivacaine for postoperative pain following abdominal surgery between October 2023 and September 2024. Methodology: Descriptive, cross-sectional, quantitative study. The sample comprised 30 patients divided into Group 1 (n=15) who received intraperitoneal tramadol 1mg/kg. Group 2 (n=15) patients who received intraperitoneal bupivacaine 1mg/kg. Results: The sociodemographic characteristics of the tramadol group and the bupivacaine group showed an average age of 20.5 + 4.8 years and 40.5 + 5.4 years, respectively, with the same number of patients for both sexes, predominantly ASA II classification at 56.6%. Bupivacaine proved to be effective for postoperative pain management, with 60% of patients experiencing moderate pain intensity (4-6 points). In the tramadol group, 80% had moderate pain (4-6 points). The adverse effects identified were nausea in 80% of the tramadol group, compared to 13.33% in the bupivacaine group. Conclusion: The findings suggest that intraperitoneal administration of bupivacaine is more effective for postoperative pain management in abdominal surgery and has fewer adverse effects than tramadol.
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References
Escalas de valoración del dolor. (2010). Disponible en: http://www.1aria.com/docs/sections/areaDo- lor/escalasValoracion/EscalasValoracionDolor. pdf http://www.librosdeanestesia.com/guiafarmacos/ Bupivacaina.htm
Jackson T, McLure HA. (2006) Pharmacology of lo- cal anesthetics. Ophthalmol Clin North Am; 19(2): 155-61
Memis, MD, D., Turan, MD, A., Karamanlioglu, MD, B., Tükenmez, MD, B., & Pamukçu, MD, Z. (2005). The effect of tramadol or clonidine added to intraperitoneal bupivacaine on postoperative pain in total abdominal hysterectomy. Journal of Opioid Management, 1(2), 77–82. https://doi. org/10.5055/jom.2005.0020
Montealegre D. (2015) Manejo del dolor: Un reto permanente para enfermería. En Revista Dialnet. págs. 197-203. Disponible en: http://biblio3.url. edu.gt/Publi/Libros/CyPdeEnfermeria/05.pdf
Pascual B., Martínez U. (2021) Curso online de do- lor. Temario 1.8. Dolor agudo postoperatorio, EDI- TORIAL MÉDICA PANAMERICANA.. Disponible
en: https://aula.campuspanamericana.com/_Cur- sos/Curso01417/Temario/Curso_Dolor/T1.8_Tex- to.pdf
Raja S., Carr D., Cohen M, Finnerup N., Flor H, Gib- son S. (2020) The revised International Associa- tion for the Study of Pain definition of pain. Pain. 161(9):1976-1982. Disponible en : https://www. dolor.com/es-es/para-sus-pacientes/tipos-de-do- lor/nueva-definicion-dolor
Shaker EH, Soliman MS, Hanafy A, Elsabeeny WY. (2022) Comparative Study Between Early versus Late Intraperitoneal Administration of Either Bu- pivacaine/Tramadol or Bupivacaine/Dexmedeto- midine for Perioperative Analgesia in Abdominal Laparoscopic Cancer Surgeries: A Prospective Randomized Study. J Pain Res. 15:3233-3243 ht- tps://doi.org/10.2147/JPR.S376681
Todd V (2007) Fisiopatología del dolor, PhD Depart- ments of Pharmacology and Anesthesiology, Uni- versity of Arizona, College of Medicine Med Clin N Am 91 (2007): 1 – 12 Elsevier saunder
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