Skip Navigation



BJA Advance Access published online on August 12, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei214
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
95/4/510    most recent
aei214v2
aei214v1
Right arrow E-Letters: Submit a response to the article
Right arrow E-letters: View responses
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Demiraran, Y.
Right arrow Articles by Akman, R. Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Demiraran, Y.
Right arrow Articles by Akman, R. Y.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org
Accepted March 20, 2005

Clinical Investigation

A comparison of the postoperative analgesic efficacy of single-dose epidural tramadol versus morphine in children

Y. Demiraran 1*, B. Kocaman 2, and R. Y. Akman 2

1 Department of Anesthesiology, Düzce School of Medicine, Abant Izzet Baysal University, Duzce, Turkey
2 Department of Urology, Düzce School of Medicine, Abant Izzet Baysal University, Duzce, Turkey

* To whom correspondence should be addressed.
Y. Demiraran, E-mail: demiryvz{at}yahoo.com


  Abstract

Background. The aim of this study was to compare epidural administration of single-dose tramadol with morphine in children undergoing urological surgery with respect to preoperative haemodynamic effects, postoperative analgesia and side-effects.

Methods. Eighty children aged between 7 and 14 undergoing urological surgery were included in the study. After intubation, in the lateral decubitus position, a single dose of morphine 0.1 mg kg-1 in isotonic saline 0.2 ml kg-1 (morphine group) and tramadol 2 mg kg-1 in isotonic saline 0.2 ml kg-1 (tramadol group) was administered epidurally. During the 24-h postoperative period, heart rate, systolic blood pressure, respiration rate, pain score and sedation level of the patients were monitored. A modified objective pain score of 3 or lower was accepted as an indicator of inadequate analgesia and these patients were given 20 acetaminophen mg kg-1 rectally or orally. Time to first analgesia was noted. Sedation level was evaluated with a four-point sedation scale.

Results. In the postoperative period, pain scores and the average time for analgesic requirement were similar in the two groups. However, the incidences of allergic rash, itching, sedation and respiratory depression and sedation score were greater in the morphine group than in the tramadol group.

Conclusion. Greater epidural use of tramadol may be preferred to morphine for postoperative analgesia under these circumstances.

Keywords: anaesthesia, paediatric; analgesic techniques, epidural; analgesics opioid, morphine.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


E-letters:

Read all E-letters

Site of operation is important in determining the analgesic efficacy of technique
Jamil Sharif Anwari, et al.
British Journal of Anaesthesia, 26 Nov 2005 [Full text]
Caudal opioids in chidren: The sedation angle.
Sumit Kumar Jha, et al.
British Journal of Anaesthesia, 8 Dec 2005 [Full text]
Efficacy of post-operative analgesia: A comparison of Caudal Epidural Block, Rectal Diclofenac S
Pavan Kumar B C Raju, et al.
British Journal of Anaesthesia, 19 Dec 2005 [Full text]

Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.