Resumen

GONZALEZ PEREZ, Sixto Fidel et al. Effects of Tramadol continuous intravenous perfusion on emergence traumatic surgery. Rev cuba anestesiol reanim [online]. 2009, vol.8, n.3. ISSN 1726-6718.

Postoperative pain is constant and it is undertreated in patients underwent surgery from traumatic emergencies. Opioids use is reference of most of postoperative analgesia techniques. Aim: To describe the effects of Tramadol continuous intravenous perfusion on emergency traumatic surgical procedures. Methodological design: A longitudinal, prospective and descriptive study made in 83 patients underwent emergency traumatic surgery, randomly selected. Following variables were studied: systolic and diastolic arterial tension, frequently of cardiac origin, respiratory frequency, peripheral saturation oxygen, postoperative pain course, rescue analgesia, and side effects. Results: Treatment offered in this research allowed a hemodynamic and respiratory stability with an analgesic power according its clinical pharmacokinetics, and to its bioavailability. There were minor side effects (nauseas, vomiting and sedation) due to the lower affinity to opioids receptors than original compound, the morphine. Conclusions: Description of Tramadol intravenous continuous perfusion allowed showing an effective analgesic method in traumatic urgent surgery.

Palabras clave : Postoperative analgesia; continuous intravenous perfusion Tramadol; traumatic surgery.

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