THE ADDITION OF A TRAMADOL INFUSION TO MORPHINE PATIENT-CONTROLLED ANALGESIA AFTER CORONARY ARTERY BYPASS GRAFT

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

FARASATKISH RASUL; ALAVI SEYED MOSTAFA; BAHARESTANI BAHADOUR; TOTONCHI ZIAA; SADEGHPOUR TABAEE ALI

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF CARDIAC SURGERY Year:2011 | Volume:3 | Issue:1 Page(s): 36-41

Download Full-Text

View:

378

Download:

146

Cites:

Information Journal Paper

Title

THE ADDITION OF A TRAMADOL INFUSION TO MORPHINE PATIENT-CONTROLLED ANALGESIA AFTER CORONARY ARTERY BYPASS GRAFT

Author(s)

Keywords

PATIENT CONTROL ANALGESIA

TRAMADOL

CABG

Abstract

Background: Patient-controlled analgesia (PCA) has been advocated as superior to conventional controlled analgesia with less risk to patients in cardiac surgery. In this double-blinded, randomized controlled trial, we tested whether the addition of TRAMADOL to morphine for patient-controlled analgesia (PCA) resulted in improved analgesia efficacy and smaller morphine requirements compared with morphine PCA alone after Coronary Artery Bypass Graft (CABG) surgery in adults.Methods: Seventy patients who were randomly allocated into two groups underwent anesthesia by Total IV anesthesia, midazolam, fentanyl and atracurim and, in end of surgery each group received morphine sulfat 0.2 mg/kg after arrived in ICU, morphin PCA was started with demand (bolus) dose 1mg, lockout interval 10 minutes. The TRAMADOL group after separated from cardiopulmonary bypass received an intra operative initial loading dose of TRAMADOL (1mg/kg) and a postoperative infusion of TRAMADOL at 0.2 mg• kg-1• h-1. The control group received an intra operative equivalent volume of normal saline and a postoperative saline infusion (placebo). The demographic data of both groups were the same. Post-operative data were recorded in the cardiac intensive care unit at 30 min, 1 h, 2 h, 4 h, 12 h and 24 h after extubation by the same anesthesiologist, who had no knowledge of the groups, and the side-effects were also evaluated.Results: Postoperatively, TRAMADOL was associated with improved subjective analgesic efficacy (P = 0.031) and there was significantly less PCA morphine use in the TRAMADOL group (P=0.023). No differences between the groups were found with regard to nausea dizziness, itching, antiemetic use, sedation, or quality of recovery (all P>0.05).Conclusions: We conclude that a TRAMADOL infusion combined with PCA morphine improves analgesia and reduces morphine requirements after cardiac surgery compared with morphine PCA alone.

Multimedia

No record.

Cites

No record.

References

No record.

Cite

APA: Copy

FARASATKISH, RASUL, ALAVI, SEYED MOSTAFA, BAHARESTANI, BAHADOUR, TOTONCHI, ZIAA, & SADEGHPOUR TABAEE, ALI. (2011). THE ADDITION OF A TRAMADOL INFUSION TO MORPHINE PATIENT-CONTROLLED ANALGESIA AFTER CORONARY ARTERY BYPASS GRAFT. IRANIAN JOURNAL OF CARDIAC SURGERY, 3(1), 36-41. SID. https://sid.ir/paper/324135/en

Vancouver: Copy

FARASATKISH RASUL, ALAVI SEYED MOSTAFA, BAHARESTANI BAHADOUR, TOTONCHI ZIAA, SADEGHPOUR TABAEE ALI. THE ADDITION OF A TRAMADOL INFUSION TO MORPHINE PATIENT-CONTROLLED ANALGESIA AFTER CORONARY ARTERY BYPASS GRAFT. IRANIAN JOURNAL OF CARDIAC SURGERY[Internet]. 2011;3(1):36-41. Available from: https://sid.ir/paper/324135/en

IEEE: Copy

RASUL FARASATKISH, SEYED MOSTAFA ALAVI, BAHADOUR BAHARESTANI, ZIAA TOTONCHI, and ALI SADEGHPOUR TABAEE, “THE ADDITION OF A TRAMADOL INFUSION TO MORPHINE PATIENT-CONTROLLED ANALGESIA AFTER CORONARY ARTERY BYPASS GRAFT,” IRANIAN JOURNAL OF CARDIAC SURGERY, vol. 3, no. 1, pp. 36–41, 2011, [Online]. Available: https://sid.ir/paper/324135/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops