Comparison of single-dose nalbuphine versus tramadol for postoperative pain management in children: a randomized, controlled trial / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 184-187, 2017.
Article
in English
| WPRIM
| ID: wpr-34193
ABSTRACT
BACKGROUND:
Acute postoperative pain control in children is an essential component of postoperative care, particularly in daycare procedures. Giving patients continuous narcotic analgesics can be risky; however, a single dose may be sufficient.METHODS:
This study used a prospective, randomized controlled design and was conducted at the Pediatric Surgery Unit, Services Hospital, Lahore. In total, 150 patients who underwent inguinal herniotomy (age range 1–12 years) were randomly assigned to two groups group A (nalbuphine) and group B (tramadol). Patients were given a single dose of either nalbuphine (0.2 mg/kg) or tramadol (2 mg/kg) immediately after surgery and pain was measured at 0, 1, 2, 4, and 8 h.RESULTS:
The demographic characteristics were similar between the two groups. The mean pain score was lower in group A than in group B at 0 and 1 h (P < 0.05). However, at 4 h and 8 h, the pain scores in group A were still lower, but not significantly. In all, 9 patients (12.0%) required rescue analgesics in group A compared to 16 patients (21.3%) in group B (P = 0.051). The mean time for requirement of rescue analgesics was 6.5 ± 0.5 h in group A and 5.3 ± 1.7 h in group B (P = 0.06).CONCLUSIONS:
A single dose of nalbuphine is sufficient, and superior to tramadol, for postoperative pain management in children who have undergone daycare procedures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Postoperative Care
/
Tramadol
/
Prospective Studies
/
Hernia, Inguinal
/
Analgesics
/
Nalbuphine
/
Narcotics
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Child
/
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2017
Type:
Article
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