COMPARATIVE STUDY OF TRAMADOL BASIS ANALGESIA VS TAP BLOCK FOR POST-OPERATIVE PAIN AFTER MIDLINE SURGERY
Main Article Content
Keywords
TAP block, Tramadol, postoperative pain, midline abdominal surgery analgesia, opioid-sparing
Abstract
Objectives
The main theme of this study was to compare the efficacy of tramadol-based analgesia with that of TAP block following midline abdominal surgery.
Materials and Methods
Adult patients, 18-65 years, who required elective midline abdominal surgery were recruited in the present study in a consecutive manner using a randomized control trial design. Treatment was assigned randomly with the patients to either the Tramadol-based analgesia group or the ultrasound-guided TAP block group for postoperative pain control. Pain intensity, the total amount of opioids used within the first 24 hours following the surgery, and adverse effects.
Results
The TAP block group endorsed less mean pain scores within the 48h and total opioids consumed, and fewer side effects such as nausea and dizziness compared with the Tramadol-based analgesia. Moreover, patient in TAP block group were more mobile and required shorter hospital stays.
Conclusion
Outcomes of the present study reveal that the TAP block yields better effectiveness for postoperative pain control and a worse side effect profile than Tramadol-based analgesia for midline abdominal surgery, pointing towards its utility as a first-line analgesia technique in the specific surgery.
References
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Dr Zaman Ali Jokhio
Department of Anesthesiology, Isra University Hospital, Hyderabad, Pakistan
Dr Vijay Kumar
Department of Anaesthesiology and Surgical ICU, Liaquat University of Medical and Health Sciences Hospital, Jamshoro, Hyderabad, Pakistan
Dr Mukhtiar Ali
Department of Anaesthesiology and Surgical ICU, Liaquat University of Medical and Health Sciences Hospital, Jamshoro, Hyderabad, Pakistan
Dr Irfan Ali
Department of Anaesthesiology and Surgical ICU, Liaquat University of Medical and Health Sciences Hospital, Jamshoro, Hyderabad, Pakistan
Dr Saif Ali Shaikh
Department of Anaesthesiology and Surgical ICU, Liaquat University of Medical and Health Sciences Hospital, Jamshoro, Hyderabad, Pakistan