Comparative study of epidural fentanyl with bupivacaine and epidural tramadol with bupivacaine for postoperative pain management in orthopedic lower limb surgeries

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dc.contributor.authorRao, Yarramsetti V.en_US
dc.contributor.authorNadimpalli, Hari K. V.en_US
dc.contributor.authorKutikuppala, Lakshmi V. S.en_US
dc.date.accessioned2023-06-17T08:54:56Z
dc.date.available2023-06-17T08:54:56Z
dc.date.issued2022-07
dc.description.abstractIntroduction: Pain is a complex subjective sensation that is difficult to quantify in a repeatable manner. Surgical pain is observed to be more intense post-surgery and then fades in the next 24 h. Epidural anesthesia/analgesia is the most widely used technique for lower limb surgeries because of its good sensory and motor block property, reduces stress response, and maintains sufficient spontaneous respiration and hemodynamic stability. Materials and Methods: The study looked at 100 individuals between the ages of 20 and 60 who underwent elective lower limb surgery and were classified as ASA I and II. The patients were split into two 50-person groups. The adverse effects of nausea, vomiting, respiratory depression, urine retention, and pruritus, as well as the quality and duration of postoperative analgesia, were investigated. The patient was monitored for 48 h after surgery. Results: A total of 100 patients were included in the study, where the least age of the patient was 19 years and the greatest age was 75 years. In group T, maximum patients belong to the age group of 26–35 years, whereas in group F maximum patients belong to the age group of 36–45years. In group T, 41 (82%) were males and 9 (18%) were females. In group F, 37 (74%) were males and 13 (26%) were females. Conclusion: Our findings show that epidural tramadol and epidural fentanyl are equally effective, except for fentanyl’s shorter duration of action. Fentanyl also has a moderate sedative effect, which is beneficial in the postoperative period.en_US
dc.identifier.affiliationsDepartment of Anesthesiology, Konaseema Institute of Medical Sciences and Research Foundation (KIMS & RF), Amalapuram 533201, Andhra Pradesh, Indiaen_US
dc.identifier.citationRao Yarramsetti V., Nadimpalli Hari K. V., Kutikuppala Lakshmi V. S.. Comparative study of epidural fentanyl with bupivacaine and epidural tramadol with bupivacaine for postoperative pain management in orthopedic lower limb surgeries. MGM Journal of Medical Sciences. 2022 Jul; 9(3): 351-355en_US
dc.identifier.issn2347-7946
dc.identifier.issn2347-7962
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/217042
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber3en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.4103/mgmj.mgmj_35_22en_US
dc.subjectBupivacaineen_US
dc.subjectepidural anesthesiaen_US
dc.subjectfentanylen_US
dc.subjectpainen_US
dc.subjecttramadolen_US
dc.titleComparative study of epidural fentanyl with bupivacaine and epidural tramadol with bupivacaine for postoperative pain management in orthopedic lower limb surgeriesen_US
dc.typeJournal Articleen_US
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