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• W2316392644 abstract "Aims & Objectives: 1.To assess the effect of epidural Tramadol with low dose local anaesthetics on quality of anaesthesia, postoperative analgesia, haemodynamic stability, and outcome in patients undergoing major orthopaedic surgeries on lower limb. Patients & Method: One hundred & seventy NYHA class III patients (age >60 yr) posted for major orthopaedic surgery on lower limbs during 1 st July 2007 to 31 st July 2010 were selected for the study. They were randomized into control (group A) & study group (group B). Group A received sixteen ml of an equal mixture of 1% Xylocaine and 0.25% Bupivacaine while Group B received Tramadol 50 mg in addition to the mixture of LAs epidurally. Inadequate level of sensory block necessitated further supplementation with 5 ml of 0.25% Bupivalocaine. For postoperative analgesia, group A received 5cc 0.125% (10 mg) Bupivacaine while group B received 5cc (50 mg) Tramadol.Anaesthetic, haemodynamic effects, pain scores, blood pressure, respiratory rate, side effects, complications and level of satisfaction were monitored for 72 hours. Adequacy of postoperative pain relief was judged by VAS. Statistical analyses were done by mean ± standard deviation. Correlation was examined with Pearson correlation coefficients (significance assumed with p < 0.05). Results: Pain scores were significantly decreased in group B. Reduction in mean arterial pressure, heart rate and respiratory rate were found in both the groups but were not significantly different between the two groups. The incidence of postoperative complications was more in group A. Level of sedation and satisfaction was better in group B. Conclusion: Use of low dose local anaesthetics with Tramadol was safe, reliable & effective in producing adequate sensory & motor blockade. The technique provided better haemodynamic stability & pain relief with lesser postoperative complications in HRCP (High risk cardiac patients)." @default.
• W2316392644 created "2016-06-24" @default.
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• W2316392644 date "2013-01-01" @default.
• W2316392644 modified "2023-09-24" @default.
• W2316392644 title "Epidural Tramadol with low dose local anaesthetics for anaesthesia and postoperative analgesia in NYHA class III orthopaedic patients – A prospective randomized controlled study" @default.
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• W2316392644 doi "https://doi.org/10.9790/3008-0521822" @default.
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