Caudal bupivacaine-tramadol combination for postoperative analgesia in pediatric herniorrhaphy

SENEL A. C., AKYOL A., Dohman D., SOLAK M.

ACTA ANAESTHESIOLOGICA SCANDINAVICA, vol.45, no.6, pp.786-789, 2001 (SCI-Expanded) identifier identifier identifier


Administration of bupivacaine caudally has been used for postoperative analgesia after urogenital, rectal and lower abdominal surgery in children. Caudal opioids may offer analgesic advantages over bupivacaine alone but have been associated with side effects such as respiratory depression Tramadol is an analgesic assumed to lack a respiratory depressant effect and has been shown to provide effective, long-lasting analgesia after epidural administration in adults and children. The aim of this study was to determine whether the addition of tramadol to bupivacaine caudally prolongs the duration of analgesia compared with bupivacaine alone, with respect to side effects, and whether caudal tramadol alone provides satisfactory analgesia.