Intraperitoneal tramadol and bupivacaine for postoperative pain in abdominal surgery

  • Yenireth Lunar Hospital Universitario de Maracaibo, Venezuela
  • Maidee Esis Hospital Universitario de Maracaibo, Venezuela
  • Nidia Devonish Posgrado anestesiología Universidad del Zulia, Maracaibo Venezuela
Keywords: tramadol, bupivacaina, pain

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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Published
2025-12-22
How to Cite
Yenireth Lunar, Maidee Esis, & Nidia Devonish. (2025). Intraperitoneal tramadol and bupivacaine for postoperative pain in abdominal surgery. REDIELUZ, 15(2), 59-67. https://doi.org/10.5281/10.5281/zenodo.17980019