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Letter to the Editor, Re; Recent advances in postoperative pain therapy
- Sudarshana H Gururajarao, Natish Bindal (24 August 2005)
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Sudarshana H Gururajarao, Specialist Registrar in Anaesthetics RussellsHall Hospital ,Dudley UK, Natish Bindal
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Editor, We read with interest the review article on recent advances in postoperative pain therapy in the July 2005 issue of BJA (1). The author has discussed a lot of recent developments but has not made any comment on the use of Tramadol infusion in the management of postoperative pain. Though Tramadol has been around for some time, it is not commonly used as an infusion . We have seen it being used effectively in the postoperative pain setting . The advantages claimed are less respiratory depression and alternative mechanisms of action other than opioid receptors. It may benefit patients who for various reasons cannot receive morphine. A recent RCT found it comparable in usefulness and efficacy to PCA morphine and epidural analgesia (2). We are interested to know the author’s opinion and the possible reasons for not mentioning this as a recent advance. 1.Power I. Recent advances in postoperative pain therapy. Br J Anaesth 2005; 95: 43-51 2.Bloch MB, Dyer RA, Heijke SA, James MF. Tramadol infusion for post thoracotomy pain relief : A placebo controlled comparison with epidural morphine. Anesth-Analg 2002; 94:523-28 Dr.S.H.G.Rao Dr.N.Bindal Conflict of Interest:None declared |
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