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Tramadol for pain relief in children undergoing herniotomy: a comparison with ilioinguinal and iliohypogastric blocks

Mohammad Bagher Khosravi1, Sasan Khezri, Simin Azemati

  • 1Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran. Khosravimb@sums.ac.ir

Paediatric Anaesthesia
|January 18, 2006
PubMed

Insights

Intravenous tramadol provided effective pain relief for children after herniorrhaphy, comparable to ilioinguinal and iliohypogastric nerve blocks. While tramadol showed superior analgesia at peak times, it was associated with increased nausea and vomiting.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Pharmacology

Background:

  • Postoperative pain control in children is a key anesthetic goal.
  • Ilioinguinal and iliohypogastric nerve blocks are common for post-herniorrhaphy pain.
  • Tramadol is an analgesic with mixed opioid and nonopioid properties.

Purpose of the Study:

  • To compare the efficacy of intravenous tramadol versus ilioinguinal and iliohypogastric nerve blocks for managing post-herniorrhaphy pain in children aged 2-7 years.

Main Methods:

  • Sixty pediatric patients undergoing herniorrhaphy were randomized into two groups.
  • One group received intravenous tramadol (1.5 mg/kg) before anesthesia induction.
  • The other group received ilioinguinal and iliohypogastric nerve blocks with bupivacaine (0.25 ml/kg) before skin incision.

Main Results:

  • Both methods yielded similar pain scores at 1, 4, and 24 hours post-surgery.
  • The tramadol group experienced significantly less pain at 2 and 3 hours post-surgery (P < 0.05).
  • Nausea and vomiting were more frequent in the tramadol group (P < 0.05), with no respiratory depression in either group.

Conclusions:

  • Intravenous tramadol offers comparable, and at times superior, analgesia to ilioinguinal and iliohypogastric nerve blocks for post-herniorrhaphy pain in children.
  • The increased incidence of nausea and vomiting with tramadol warrants consideration regarding its overall benefit, despite its lack of respiratory depression.
Abstract

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