4.Original Article Effect of 0.25% Bupivacaine VS 0.125% Bupivacaine with Tramadol for Labor Pain Comparison of 0.25% Bupivacaine with Tramadol Versus 0.125% Bupivacaine with Tramadol in Epid
Muhammad Nadeem Khan1, Hina Zubair2, Sara Akram2, Saima Perveen2, Aurooj Fatima2 and Madiha Haroon2
ABSTRACT
Objective: To compare the analgesic effects and effectiveness of 0.25% bupivacaine and % and 0.125% bupivacaine with tramadol in labor patients.
Study Design: A randomized comparative and double blind trial study
Place and Duration of Study: This study was conducted at the Anaesthesiology department, Divisional Headquarters teaching Hospital Mirpur from May 2020 to October 2020.
Materials and Methods: Patients who were undergoing for labor pain was given epidural analgesia and seventy females were divided into two groups (A and B). Patients of group A were given 0.25% bupivacaine with tramadol for epidural block. while patients of group B were given 0.125% bupivacaine with tramadol. Hemodynamic changes and pain score were recorded and then data was analyzed.
Results: Less pain was observed in group A then to group B. Blood pressure also dropped significantly in group A patients (6537%) (p-value <0.001) as compared to patients of group B (17.1%).
Conclusion: 0.25% bupivacaine showed better results and showed greater efficacy than 0.125% bupivacaine with tramadol in the treatment and prevention of painful delivery. This also prevents bradycardia and hypotension in epidurally induced labor.
Key Words: Analgesic effects, Bupivacaine, Tramadol, Caesarean section, Hypotension
Citation of article: Khan MN, Zubair H, Akram S, Perveen S, Fatima A, Haroon M. Comparison of 0.25% Bupivacaine with Tramadol Versus 0.125% Bupivacaine with Tramadol in Epidural B Analgesia for Labor Pain. Med Forum 2022;33(5):15-18.