THE CLINICAL USEFULNESS OF TRAMADOL-INFUSION ANESTHESIA

  • 1 January 1981
    • journal article
    • research article
    • Vol. 30  (12) , 619-622
Abstract
Tramadol-HCl was used clinically in the form of a continuous infusion as the analgesic component of a balanced anesthetic technique. In over 90% of the anesthetics a further injection of barbiturate and/or supplementary muscle relaxant was necessary because the patients did not tolerate the operative procedure. Although a higher dosage of Tramadol reduces the supplementary barbiturate dosage per/kilogram body weight per minute which is required, it has no effect on the incidence of reflex movements, nor does it prevent the marked intraoperative rise of diastolic blood pressure. The balanced anesthetic with tramadol-HCl is characterized by prompt awakening, total amnesia, good post-operative analgesia and minimal side effects (occasional nausea). There was no case in which there was noticeable respiratory depression. As insufficient analgesia and hypnosis is provided by tramadol-HCl, making the administration of muscle relaxants and barbiturates obligatory, there is no significant advance in the use of tramadol-HCl, despite the advantages which have been outlined.