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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 4 Issue 4 Oct-Dec 2018

Original Articles

Sunita B. Wadekar, Raju Jharbade, Sunita Dhupia, Neil Alwani, Santosh Pancholi

Background: Epidural nerve block is extensively used for analgesia during the postoperative period. Unmanaged pain harvests upsetting results therefore good postoperative pain administration is vital part of good anaesthetic training.Various trials have been conducted that prove tramadol to be an effective and safe during epidural analgesia. The present study was aimed to compare adjunctive action of tramadol with ropivacaine for postoperative epidural analgesia following lower limb surgeries. Materials and methods: A randomised controlled trial was conducted in a prospective manner. All the subjects were informed about the study and a written consent was obtained from them in their vernacular language. Cardiac monitors were attached on shifting the patient to operation theatre. Baseline parameters were recorded. Epidural block was administered under complete aseptic condition in sitting position. Assessment of sensory block was done till T9-T10. A score of 2 was regarded as complete anaesthesia. Chi square test was applied as a test of significance. P value of less than 0.05 was considered significant. Results: A total of 48 candidates took part in this randomised study. Age and weight are expressed as mean +/- standard deviation. Ratio of male and female candidates in Group I is 15/9 and in Group II is 19/5. The onset of both sensory and motor block did not show any significant difference between the two groups. Pain scores were lesser in Group II subjects but there was no significant difference between the two groups. Conclusion: We came to the conclusion that combination of ropivacaine and tramodol gives improved results compared to ropivicaine alone. Keywords: Analgesia, Bupivacaine, Pain, Ropivacaine

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