Comparative Study of Nalbuphine and Tramadol for Postoperative Pain Relief in Patients of Short Surgical Procedures under TIVA
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: For short surgical procedures, total intravenous anaesthesia (TIVA) is better than general anaesthesia. Short acting opioids are usually used with propofol in TIVA for postoperative pain relief. The aim of our study was to compare the efficacy and safety of nalbuphine and tramadol for postoperative pain relief in short surgical procedures. Material and methods: In this prospective, randomized, double blinded, controlled study 60 patients of either sex, aged between 20 to 50 years with ASA grade I and II scheduled for elective short surgical procedures under TIVA were selected and randomly divided into two groups. Group N received nalbuphine 0.25 mg/ kg and group T received tramadol 2 mg/kg. Result: Pain scores on visual analogue scale (VAS) were not significantly different upto 3rd postoperative hour but after that pain scores on VAS were significantly low in nalbuphine group. Mean sedation scores were significantly more at 2nd and 4th postoperative hour in nalbuphine group. Side effects like nausea vomiting were significantly more in tramadol group. Conclusion: Nalbuphine is better analgesic than tramadol for postoperative pain relief in short surgical procedures.
Authors and Affiliations
Jitesh Kumar, P. K. Sinha, B. K. Prasad, Ajay Simbha
Keywords
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