The addition of a tramadol infusion to morphine patient-controlled analgesia after abdominal surgery

A double-blinded, placebo-controlled randomized trial

Ashley R. Webb, Samuel Leong, Paul S. Myles, Sara J. Burn

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51 Citations (Scopus)

Abstract

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 abdominal surgery in adults. Sixty-nine patients were randomly allocated into two groups, each receiving morphine 1 mg/mL via PCA after surgery. The tramadol group received an intraoperative initial loading dose of tramadol (1 mg/kg) and a postoperative infusion of tramadol at 0.2 mg · kg-1 · h-1. The control group received an intraoperative equivalent volume of normal saline and a postoperative saline infusion. 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, antiemetic use, sedation, or quality of recovery (all P > 0.05). We conclude that a tramadol infusion combined with PCA morphine improves analgesia and reduces morphine requirements after abdominal surgery compared with morphine PCA alone.

Original languageEnglish
Pages (from-to)1713-1718
Number of pages6
JournalAnesthesia and Analgesia
Volume95
Issue number6
Publication statusPublished - 1 Dec 2002

Cite this

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title = "The addition of a tramadol infusion to morphine patient-controlled analgesia after abdominal surgery: A double-blinded, placebo-controlled randomized trial",
abstract = "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 abdominal surgery in adults. Sixty-nine patients were randomly allocated into two groups, each receiving morphine 1 mg/mL via PCA after surgery. The tramadol group received an intraoperative initial loading dose of tramadol (1 mg/kg) and a postoperative infusion of tramadol at 0.2 mg · kg-1 · h-1. The control group received an intraoperative equivalent volume of normal saline and a postoperative saline infusion. 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, antiemetic use, sedation, or quality of recovery (all P > 0.05). We conclude that a tramadol infusion combined with PCA morphine improves analgesia and reduces morphine requirements after abdominal surgery compared with morphine PCA alone.",
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The addition of a tramadol infusion to morphine patient-controlled analgesia after abdominal surgery : A double-blinded, placebo-controlled randomized trial. / Webb, Ashley R.; Leong, Samuel; Myles, Paul S.; Burn, Sara J.

In: Anesthesia and Analgesia, Vol. 95, No. 6, 01.12.2002, p. 1713-1718.

Research output: Contribution to journalArticleResearchpeer-review

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