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Revista de Ciencias Médicas de Pinar del Río

On-line version ISSN 1561-3194

Abstract

SUAREZ GONZALEZ, Luis M; SALGADO BORGES, Mabel; VALLE ALONSO, Yoel  and  DIAZ ARTEAGA, Yovany. The use of tramadol as an immediate postoperative analgesic. Rev Ciencias Médicas [online]. 2005, vol.9, n.3, pp.31-40. ISSN 1561-3194.

The pain is an extremely unpleasant experience for those undergoing it. The discovering of new drugs makes it possible for the effectiveness of Tramadol, a descriptive and prospective study was performed at Abel Santamaría University Hospital from Junary to December, 2003 with 60 patients ASA I and II who were devided into 3 groups of 20 patients each, who underwent an electic surgery in the specialties of orthopedics, general surgery and gynecology. The sample selection was at random numbers. We found that analgesia achieved was good in 88 % cases at first assesment and generally the method can be extended to any type of surgery, whether somatic or visceral, since there was no significant difference between groups, p < 0.05. Doses for analgenis recovery were more necessary at 8 hours since since plasma concentration on first dose started to falla to 5.7±2.9 hours. The first tour was most critical in terms of sedation, being more outstanding the status of wakening in group C; in successive evaluations patients stayed awake with no significant difference, p > 0.05. most frequent side effects were nausea and vomits observed in groups A and C. In trauma surgery nausea and vomits together hardly reach 20 %. The method can be extended to any surgical procedure effectively and with few side effects.

Keywords : TRAMADOL; ANALGESIA; POSTOPERATIVE PAIN.

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