BUENAS PRÁCTICAS

Buenas Práctica

Buenas Prácticas

Archivo de buenas práctica

Normas de publicación

Normas de publicación en Espacio, Tiempo y Forma VI. Geografí

Normas de publicación

Normas de publicación ETF I

Increased nausea and dizziness when using tramadol for post-operative patient-controlled analgesia (PCA) compared with morphine after intraoperative loading with morphine

Thirty-eight ASA I-III patients undergoing lower abdominal operations were randomly allocated to receive either morphine (group M, patient-controlled analgesia bolus = 1 mg of morphine) or tramadol (group T, patient-controlled analgesia bolus = 10 mg of tramadol) for post-operative patient-controlled analgesia (PCA) after receiving morphine intraoperatively. There were no between-group differences in the pain, sedation or vomit scores. The nausea scores were significantly higher in group T in the initial 20 h and between 32 and 36 h (P < 0.01, 0-4 and 8-12 h; P < 0.05, 4-8, 12-16, 16-20 and 32-36 h). The incidence of dizziness was also significantly higher in group T (68.4% vs. 31.6%, group T vs. group M, P < 0.05). There was no difference in the overall satisfaction. We conclude that the use of tramadol, compared with morphine, for post-operative PCA after intraoperative loading with morphine is associated with more nausea and dizziness, but with similar sedation, quality of analgesia and patient satisfaction.published_or_final_versio

Normas de publicación

Authosr guidelines Espacio,Tiempo y Forma. Serie VI, GeografíaNormas de publicación de Espacio,Tiempo y Forma. Serie VI, Geografí

Normas de publicación

Normas de publicación de ETF I