Multimodal analgesia after upper limb orthopedic surgeries: Patient controlled intravenous low dose tramadol analgesia with or without intravenous acetaminophen – A comparative study

Rashwan, Doaa; Fathy El-Rahmawy, Ghada

doi:10.1016/j.egja.2013.01.005

Multimodal analgesia after upper limb orthopedic surgeries: Patient controlled intravenous low dose tramadol analgesia with or without intravenous acetaminophen – A comparative study

Authors

10.1016/j.egja.2013.01.005

Abstract

This study was designed to evaluate the effects of addition of acetaminophen to a low dose tramadol patient controlled intravenous analgesia after unilateral upper limb orthopedic surgeries under general anesthesia.
Methods
120 Adult patients ASA I and II undergoing unilateral upper limb orthopedic surgeries under general anesthesia were randomly allocated into two groups:

Results
Volume of tramadol (mg) consumed, severity of postoperative pain at rest using VAS 24 h were statistically significantly higher in group T, postoperative systolic , diastolic arterial blood pressure and heart rate, adverse events showed no statistical significant differences between the two groups, patient satisfaction was more in group TA.
Conclusion
The addition of acetaminophen to a low dose tramadol iv PCA as a multimodal analgesic approach provided satisfactory pain control than tramadol iv PCA alone after unilateral upper limb orthopedic surgeries under general anesthesia.

Keywords