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Comparison of caudal morphine and tramadol for postoperative pain control in children undergoing inguinal

D Ozcengiz1, M Gunduz, H Ozbek

  • 1Department of Anaesthesiology, Faculty of Medicine, Cukurova University, 01330 Balcal 1, Adana, Turkey. ecenaz@mail.cu.edu.tr

Paediatric Anaesthesia
|July 10, 2001
PubMed

Insights

Caudal tramadol and morphine offer comparable postoperative pain relief in children undergoing herniorrhaphy. Presurgical administration of either agent reduced sevoflurane requirements during surgery.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Pharmacology

Background:

  • Caudal blocks are used for pediatric pain management.
  • Tramadol and morphine are common analgesics.
  • Preemptive analgesia aims to reduce pain sensitivity.

Purpose of the Study:

  • Compare tramadol and morphine for caudal analgesia in pediatric herniorrhaphy.
  • Evaluate the effect on perioperative sevoflurane requirements.
  • Assess preemptive analgesic efficacy.

Main Methods:

  • Randomized controlled trial with three groups: preemptive tramadol, preemptive morphine, and postincisional morphine.
  • Dosages: tramadol 2 mg/kg, morphine 0.03 mg/kg.
  • Monitored cardiorespiratory data, sedation, and pain for 24 hours.

Main Results:

  • Sevoflurane concentration was lower in tramadol and morphine groups compared to control.
  • No significant differences in pain relief quality or duration between groups.
  • No differences in postoperative nausea, vomiting, or complications.

Conclusions:

  • Caudal tramadol provides reliable postoperative analgesia, similar to caudal morphine.
  • Presurgical caudal morphine or tramadol decreases perioperative sevoflurane needs.
  • Timing of caudal morphine (pre- vs. post-incision) did not impact postoperative analgesia.
Abstract

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