Comparision of addition of clonidine  to epidural tramadol for post–operative analgesia

Dr. Bipin J. Ganvit; Dr. Parimal H. Patel; Dr. Hitesh  R. Ahir

Volume : II, Issue : XII, December - 2013

Comparision of addition of clonidine to epidural tramadol for post–operative analgesia

Dr. Bipin J. Ganvit, Dr. Parimal H. Patel , Dr. Hitesh R. Ahir

Abstract :

Introduction: Epidural opioid administration is one of the most common technique for post operative pain relief since it has long lasting segmental analgesia,no sensory or motor loss no autonomic blockade . When used as adjuncts to opioids, they decrease adverse effects, and increase the quality and duration of analgesia.

Aim: To assess and compare analgesic effect of epidural Tramadol(T) used alone, and the combinations of Tramadol - Clonidine(TC).

Material and Method: After Ethic�s Committee approval and patient informed consent, Prospective, randomized and double-blind study was done, in which 100 patients of ASA 1 & 2 of age between 30 to 60 yrs were included. Patients were divided 50 each in to T and TC group.

Result: Duration of analgesia was similar in TC significantly longer than in the T group

group TC patients displayed a significant increase in sedation scores and decrease in blood pressure and heart rate when compared with other groups . Nausea scores were high in both the T and TC group.

Conclusion: Combination of tramadol with clonidine is better choice than tramadol alone for post operative epidural analgesia.