Evaluation of Intra–operative Tramadol for Prevention of Catheter Related Bladder Discomfort

Dr.Balasubramanian; Dr.S.Harikrishnan; Dr.K.Rajachidambaram

Volume : VIII, Issue : IV, April - 2019

Evaluation of Intra–operative Tramadol for Prevention of Catheter Related Bladder Discomfort

Dr. Balasubramanian, Dr. S. Harikrishnan, Dr. K. Rajachidambaram

Abstract :

AIM OF THE STUDY: To evaluate the efficacy of intraoperative tramadol for the prevention of catheter related bladder discomfort. MATERIALS AND METHODS: This propective, randomized, double blind study was conducted on a total of 70 patients posted for elective orthopedic surgery. PLACE OF STUDY –Trichy SRM Medical college hospital & Research centre After appropriate ethical committee approval and informed consent. Except for the 1.5mg/kg tramadol given to the case population. all other steps in providing anesthesia to the two groups were kept identical. RESULTS: Analysis of the monitored date shows that the patients in the case group (receiving Tramadol) showed a decrease in both the occurrence as well as the severity of catheter related bladder discomfort which was statistically significant. Although a few patients did manifest the side effects of intravenous tramadol like sedation. PONV and respiratory depression, the number of patients who suffered these side effects were not clinically significant and moreover these side effects manifested to a level which was easily remediable. CONCLUSION: In agreement to previous studies, considerable number of patients in the study group did manifest the symptoms of catheter related bladder discomfort in the control population concreting the fact that CRBD is indeed a common and distressing complication in patients emerging from general anaesthesia who had a urinary catheterization during surgery. Intraoperative tramadol is indeed effective in the prevention as well as in reducing the severity of catheter related bladder discomfort.