[Use of tramal during minor surgical interventions in children].

Abstract

Intraoperative analgesia was performed using a combination of tramal at a dose of 2-2.5 mg/kg and transcranial electrical stimulation under halothane-nitrous oxide-oxygen mask anesthesia. The study was performed in 12 apparently healthy boys aged 11-13 operated on for II to III degree varicocele. The efficacy of postoperative analgesia was assessed in 68 children aged 8 to 14 subjected to surgery for inguinal and umbilical hernia, varicocele, cryptorchidism. Parameters of central hemodynamics and cardiopolygraphy have been assessed. Intraoperative use of tramal was accompanied by a prompt recovery of the balance between sympathetic and parasympathetic impacts on the heart and stability of central hemodynamic parameters. Postoperative analgesia with tramal is an effective technique enabling a prompt recovery of pain-induced disturbances in the relations between sympathetic and parasympathetic compartments of the autonomic nervous system. Among the adverse events one can name nausea (25%), repeated vomiting (12%) and allergic reactions (1.4%).

• Authors: I F Ostreĭkov, V N Sen'kov, E S Kurilova, V P Bershinskiĭ, S A Pivovarov, B D Babaev
• Journal: Anesteziologiia i reanimatologiia (Anesteziol Reanimatol) 1993 May-Jun Issue 3 Pg. 28-31 ISSN: 0201-7563 [Print] Russia (Federation)
• Vernacular Title: Primenenie tramala pri malykh khirurgicheskikh vmeshatel'stvakh u deteĭ.
• PMID: 7943899 (Publication Type: Comparative Study, English Abstract, Journal Article)

Chemical References

• Tramadol

Topics

• Adult
• Age Factors
• Anesthesia
• Child
• Hemodynamics (drug effects)
• Humans
• Male
• Minor Surgical Procedures
• Postoperative Period
• Tramadol (administration & dosage, pharmacology)