Abstract
Purpose
We conducted a prospective, randomized, double-blind study to determine whether the combination of tramadol with lidocaine 0.5% had an analgesic effect on tourniquet pain duringiv regional anesthesia and also on postoperative pain.
Methods
Thirty patients scheduled for carpal tunnel decompression were included in the study. Each patient received 3 mg·kg−1 of plain lidocaine 0.5% with 100 mg of tramadol (Group T) or 2 ml_ of isotonic saline (Group C). The mixture was injected into the isolated and exsanguinated arm. Pain was assessed using a linear visual analog scale and a verbal rate scale during the surgical procedure and the postoperative period (240 min) and subsequently at interview at 24 hr. Analgesic consumption was recorded.
Result
There was no difference in the pain scales and analgesic request at any of the time periods studied.
Conclusion
We conclude, therefore, that for carpal tunnel operation underiv regional anesthesia, the combination of tramadol and lidocaine is not more effective than lidocaine alone.
Résumé
Objectif
Déterminer, par une étude prospective, randomisée et à doubie insu, si ia combinaison de tramadoi et de iidocaïne à 0,5 % produit un effet anaigésique sur ia douleur du garrot pendant l’anesthésie iv régionale et sur ia douleur postopératoire.
Méthode
Trente patients devant subir ia décompression du canai carpien ont participé à l’etude. Chacun a reçu 3 mg·kg−1 de lidocaïne simple à 0,5 % combinée à 100 mg de tramadol (Groupe T) ou à 2 mL de solution saline isotonique (Groupe C). Le méiange a été injecté dans le bras isoié et exsanguine. La douleur a été évaiuée à l’aide d’une échelle visuelle analogique linéaire et d’une échelle verbaie pendant l’opération et 4 h et 24 h après l’opération, cette dernière évaluation faisant l’objet d’une entrevue. La consommation d’analgésique a été notée.
Résultats
Tous les scores de douleur et les besoins d’analgésiques ont été semblables d’un groupe à l’autre, et ce, pour tous les temps de mesures.
Conclusion
La combinaison de tramadol et de lidocaïne, utilisée pour I’anesthésie iv régionale pendant la compression du canal carpien, n’est pas plus efficace que la lidocaïne employée seule.
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Langlois, G., Estèbe, JP., Gentili, M.E. et al. The addition of tramadol to lidocaine does not reduce tourniquet and postoperative pain duringiv regional anesthesia. Can J Anesth 49, 165–168 (2002). https://doi.org/10.1007/BF03020489
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DOI: https://doi.org/10.1007/BF03020489