Intravenous and Subcutaneous Tramadol for Inguinal Herniorrhaphy: Comparative Study

Inguinal herniorrhaphy is one of the most common surgeries in men. Neuroaxis block is the anesthetic technique used more often and in the majority of the cases the patient is ready to be discharged from the hospital a few hours after the procedure, as long as satisfactory analgesia is present and na...

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Bibliographic Details
Published in:Revista brasileira de anestesiologia 2010-09, Vol.60 (5), p.522-527
Main Authors: dos Santos, Talita Oliveira Dias, Estrela, Tomaz Gonzalez, de Azevedo, Vera Lucia Fernandes, de Oliveira, Onofre Eduardo Carvalho, Júnior, Gildásio Oliveira, Figueiredo, Gilvan da Silva
Format: Article
Language:eng ; por
Subjects:
Adolescent
Adult
Analgesia
ANALGESIA: Postoperative
ANALGESIA: Pós-operatória
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - adverse effects
ANALGÉSICOS: tramadol
CIRURGIA, Abdominal: herniorrafia inguinal
COMPLICATIONS: nausea and vomit
COMPLICAÇÕES: náuseas e võmito
DRUGS: tramadol
Hernia, Inguinal - surgery
Humans
Incidence
Injections, Intravenous
Injections, Subcutaneous
Male
Middle Aged
Pain, Postoperative - prevention & control
Postoperative Nausea and Vomiting - epidemiology
Prospective Studies
SURGERY, Abdominal: inguinal herniorrhaphy
Tramadol - administration & dosage
Tramadol - adverse effects
Young Adult
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Summary:Inguinal herniorrhaphy is one of the most common surgeries in men. Neuroaxis block is the anesthetic technique used more often and in the majority of the cases the patient is ready to be discharged from the hospital a few hours after the procedure, as long as satisfactory analgesia is present and nausea and vomiting are absent. Tramadol is an analgesic drug that can be used in postoperative analgesia, but it has important side effects, such as nausea and vomiting whose incidence can range from 0% to 50%. The objective of the present study was to compare the incidence of nausea and vomiting and the quality of postoperative analgesia of subcutaneous and intravenous tramadol in patients undergoing inguinal herniorrhaphy. This is a prospective study with 30 patients undergoing inguinal herniorrhaphy. Patients were divided into two groups: Group C (n = 15) received 1.5 mg.kg-1 of subcutaneous Tramadol, and Group V (n = 15) received 1.5 mg.kg-1 of intravenous Tramadol. All patients underwent continuous epidural anesthesia with 0.5% levobupivacaine. Anthropometric data, quality of analgesia, and the development of postoperative nausea and vomiting in the first eight hours were recorded. Statistically significant differences were not observed between both groups for anthropometric data, quality of analgesia, and the development of nausea and vomiting. The present study demonstrates the absence of statistically significant differences regarding the incidence of nausea and vomiting and quality of analgesia when using intravenous and subcutaneous Tramadol. A herniorrafia inguinal é uma das cirurgias mais realizadas no homem. O bloqueio do neuroeixo é a técnica anestésica comumente utilizada e, na maioria das vezes, o paciente se encontra em condições para alta domiciliar algumas horas após o procedimento, desde que apresente analgesia satisfatória e ausência de náuseas e vômitos. O tramadol é um fármaco analgésico que pode ser utilizado para a analgesia pós-operatória, porém apresenta, como importantes efeitos colaterais, a presença de náuseas e vômitos, cuja incidência pode variar de 0% a 50% associada ao seu uso. O objetivo deste estudo foi comparar a incidência de náuseas e vômitos e a qualidade da analgesia pósoperatória do tramadol pela via subcutânea e endovenosa em pacientes submetidos à herniorrafia inguinal. Estudo prospectivo com 30 pacientes submetidos à herniorrafia inguinal. Foram divididos em dois grupos: Grupo C (n = 15) recebeu Tramadol 1,5 mg.kg-1 su
ISSN:0034-7094
1806-907X
DOI:10.1016/S0034-7094(10)70063-5