Tramadol Added to Bupivacaine Does Not Prolong Analgesia of Continuous Psoas Compartment Block |
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| Authors: | Mukesh Kumar,MD, Yatindra Kumar Batra,MD,MNAMS,FAMS, Nidhi Bidyut Panda,MD, Subramanyam Rajeev,MD,DNB,MNAMS, Onkar Nath Nagi,MS,FAMS |
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| Affiliation: | Departments of Anaesthesia and Intensive Care;;Orthopaedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India |
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| Abstract: | The primary aim of our study was to evaluate the quality and duration of analgesia when tramadol was added to 0.25% bupivacaine for continuous psoas compartment block (CPCB) using visual analog pain scores. Thirty patients were prospectively randomized into two equal groups ( n = 15). Visual analog scale pain score was not significantly different between the groups during the 48-hour follow-up period. Rescue analgesic consumption, nausea and vomiting, and the satisfaction scores were comparable between the groups ( P > 0.05). Success with catheter placement adjacent to the lumbar plexus was 100%, and none of the patients developed any catheter-related complications. In conclusion, tramadol does not provide a clinically significant analgesic action as an adjunct to 0.25% bupivacaine for CPCB. |
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| Keywords: | continuous psoas compartment block pain tramadol postoperative analgesia total hip arthroplasty |
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