A comparison of the postoperative analgesic efficacy of single-dose epidural tramadol versus morphine in children

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dc.authorid0000-0003-0811-4945
dc.authorid0000-0002-0416-9167
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorKocaman, Buket
dc.contributor.authorAkman, Ramazan Yavuz
dc.date.accessioned2021-06-23T19:18:10Z
dc.date.available2021-06-23T19:18:10Z
dc.date.issued2005
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground. The aim of this study was to compare epidural administration of single-dose tramadol with morphine in children undergoing urological surgery with respect to preoperative haemodynamic effects, postoperative analgesia and side-effects. Methods. Eighty children aged between 7 and 14 undergoing urological surgery were included in the study. After intubation, in the lateral decubitus position, a single dose of morphine 0.1 mg kg(-1) in isotonic saline 0.2 ml kg(-1) (morphine group) and tramadol 2 mg kg(-1) in isotonic saline 0.2 ml kg(-1) (tramadol group) was administered epidurally. During the 24-h postoperative period, heart rate, systolic blood pressure, respiration rate, pain score and sedation level of the patients were monitored. A modified objective pain score of 3 or lower was accepted as an indicator of inadequate analgesia and these patients were given 20 acetaminophen mg kg(-1) rectally or orally. Time to first analgesia was noted. Sedation level was evaluated with a four-point sedation scale. Results. In the postoperative period, pain scores and the average time for analgesic requirement were similar in the two groups. However, the incidences of allergic rash, itching, sedation and respiratory depression and sedation score were greater in the morphine group than in the tramadol group. Conclusion. Greater epidural use of tramadol may be preferred to morphine for postoperative analgesia under these circumstances.en_US
dc.identifier.doi10.1093/bja/aei214
dc.identifier.endpage513en_US
dc.identifier.issn0007-0912
dc.identifier.issn1471-6771
dc.identifier.issue4en_US
dc.identifier.pmid16100237en_US
dc.identifier.scopus2-s2.0-26444500187en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage510en_US
dc.identifier.urihttps://doi.org/10.1093/bja/aei214
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5660
dc.identifier.volume95en_US
dc.identifier.wosWOS:000231921400014en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDemiraran, Yavuz
dc.institutionauthorKocaman, Buket
dc.institutionauthorAkman, Ramazan Yavuz
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofBritish Journal Of Anaesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnaesthesia, Paediatricen_US
dc.subjectAnalgesic Techniques, Epiduralen_US
dc.subjectAnalgesics Opioiden_US
dc.subjectMorphineen_US
dc.titleA comparison of the postoperative analgesic efficacy of single-dose epidural tramadol versus morphine in childrenen_US
dc.typeArticleen_US

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