COMPARATIVE STUDY OF TRAMADOL BASED ANALGESIA VS TAP BLOCK IN POST-OPERATIVE PAIN AFTER MIDLINE SURGERY
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Keywords
Postoperative pain, TAP block, Tramadol, Analgesia, Midline surgery, Opioid reduction
Abstract
Objectives: The purpose of this study was therefore to evaluate the efficacy of tramadol based analgesia compared to TAP block in midline surgery.
Materials and Methods: Overall, one hundred patients (n=100) who had been posted for midline abdominal surgery were randomised to receive either tramadol-based analgesia (Group T) or TAP block (Group B). Postoperative pain severity was compared using the VAS scores obtained at 4, 8, 12, and 24 hours following the procedure. The primary endpoints were self-reported pain and the number of oxycodone tablets taken, as well as patients' satisfaction levels.
Results: The TAP block group had equally lower pain intensity measurements at all the postoperative time intervals than the tramadol group. Furthermore, opioid use decreased, and patient satisfaction increased in the TAP block group. Some of the adverse effects, like nausea and dizziness, were reported to be more frequent in patients who were administered tramadol.
Conclusion: This study established that with TAP block, patients experienced less postoperative pain as compared to those given tramadol, lower opioid consumption and a higher level of satisfaction. It is used as a postoperative analgesic for midline abdominal surgeries.
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Ch Muhammad Aqeel
Assistant Professor of General Surgery, Azra Naheed Medical College, Lahore, Pakistan
Shah Faisal
District Surgeon, TDH Katlang, Pakistan
Pir Muneeb Rehman
Assistant Professor Surgery, Services Institute of Medical Sciences Lahore, Pakistan
Majid Hasan
MBBS, MS, MRCS, Registrar General Surgery, Mayo University Hospital Ireland
Daim Ali
Resident Surgeon, Surgical B Ward, Hayatabad Medical Complex, Peshawar, Pakistan
Asif Mehmood
Associate Professor General Surgery Bannu Medical College,Bannu, Pakistan
Rafay Irfan
Medical Student, CMH Kharian Medical College, Pakistan