Resumo

GONZALEZ-PEREZ, E. et al. Epidural postoperative analgesia with tramadol after abdominal hysterectomy. Rev. Soc. Esp. Dolor [online]. 2006, vol.13, n.6, pp.399-405. ISSN 1134-8046.

Introduction: Postoperative pain is a special type of acute pain whose inadequate control leads to abnormal reactions. Objectives: To evaluate the utility of tramadol by the epidural route in the postoperative analgesia of patients undergoing abdominal hysterectomy. Material and method: 90 patients studied who conformed three groups: Group I: received 100 mg of epidural tramadol every 6 h. Group II: received 1.2 g of intramuscular metamizol every 6 h. Group III: received 100 mg of intramuscular tramadol every 6 h. Blood pressure and heart rate were measured. Pain intensity was evaluated by a visual analogical scale. Metamizol 2 g was used as rescue analgesia. Results: Significant variations of heart rate and mean blood pressure were found in group I (p < 0.05) whereas in group II and III they were very significant (p < 0.01). The intensity of postoperative pain reached lower values in group I (p < 0.05) and therefore only 2 patients required rescue analgesia, whereas group II showed the greater variations (p < 0.01), and 100% of patients required rescue analgesia. Group III receiving intramuscular tramadol showed a greater number of side effects, mainly nausea in 23.3%. Conclusions: Epidural tramadol is an effective alternative for the management and treatment of acute postoperative pain, since it offers superior analgesia with fewer undesired effects.

Palavras-chave : Tramadol; postoperative pain; hysterectomy; epidural.

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