Epidural ropivacaine versus ropivacaine plus tramadol in postoperative analgesia in children undergoing major abdominal surgery: a comparison

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dc.contributor.authorInanoglu, Kerem
dc.contributor.authorOzcengiz, Dilek
dc.contributor.authorGunes, Yasemin
dc.contributor.authorUnlugenc, Hakki
dc.contributor.authorIsik, Geylan
dc.date.accessioned2024-09-18T20:19:48Z
dc.date.available2024-09-18T20:19:48Z
dc.date.issued2010
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIn this study, we aimed to compare the effects of ropivacaine alone and ropivacaine plus tramadol administered epidurally for postoperative analgesia in children. Following Ethics Committee approval and informed parent consent, 44 children aged between 2 and 12 years, with ASA physical status I or II, who were undergoing major abdominal surgery were included in the study. Following tracheal intubation, patients were placed into lateral decubitus position and an epidural catheter (22-24 G) was inserted by using a Tuohy needle. Patients were randomly divided into two groups to receive either ropivacaine alone (0.2%), 0.7 ml/kg, in group I, or ropivacaine (0.2%) plus tramadol (2 mg/kg), with total volume 0.7 ml/kg, in group II, epidurally in both groups. Hemodynamic variables, pain and sedation scores, duration of analgesia, and side effects were recorded postoperatively. The duration of analgesia was significantly longer in group RT than in group R (298.6 +/- A 28 and 867.9 +/- A 106.8 min in group I and II, respectively) (P < 0.05). CHEOPS scores were significantly lower in group RT at 30 min, 45 min, and 3 h postoperatively than in group R (P < 0.05). However, sedation scores were similar between the two groups. Twenty-two patients (100%) in group R and 13 patients (59%) in group RT needed supplemental analgesia postoperatively. There were no significant differences in side effects between the groups. In children undergoing major abdominal surgery, epidural tramadol, added to epidural ropivacaine, provided lower pain scores, longer duration of analgesia, and lower postoperative analgesic requirement.en_US
dc.identifier.doi10.1007/s00540-010-0979-1
dc.identifier.endpage704en_US
dc.identifier.issn0913-8668
dc.identifier.issue5en_US
dc.identifier.pmid20665055en_US
dc.identifier.scopus2-s2.0-78149410875en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage700en_US
dc.identifier.urihttps://doi.org/10.1007/s00540-010-0979-1
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9854
dc.identifier.volume24en_US
dc.identifier.wosWOS:000282701400007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Tokyoen_US
dc.relation.ispartofJournal of Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural analgesiaen_US
dc.subjectRopivacaineen_US
dc.subjectTramadolen_US
dc.subjectPediatricsen_US
dc.titleEpidural ropivacaine versus ropivacaine plus tramadol in postoperative analgesia in children undergoing major abdominal surgery: a comparisonen_US
dc.typeArticleen_US

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