Abstract
Local anaesthesia has been widely practiced with minimal risk of complications. To evaluate the local anesthetic property of 5% tramadol hydrochloride with adrenaline, a prospective research study was conducted in the Oral and Maxillofacial Surgery unit of Bokaro General Hospital, Jharkhand. A total number of 39 patients who needed various oral and maxillofacial surgical procedures were selected as per the inclusion and exclusion criteria. Pain on injection, onset of anesthesia, volume of 5% tramadol hydrochloride used, duration of anesthesia and post-operative analgesia was assessed for the same. Study showed that 5% Tramadol HCl with adrenaline is a good alternative anaesthetic agent for local anaesthesia in oral and maxillofacial surgeries. Its dual property as an analgesic and anaesthetic could be advantageous for long-term surgical operations.
Highlights
Pain was defined in 1906 in The Devil’s Dictionary as “an uncomfortable frame of mind that may have a physical basis in something that is being done to the body or may be purely mental
Tramadol hydrochloride (HCl), a centrally acting opioid analgesic, was synthesized in 1962 by Grunenthal GmbH in Germany and was made available to use for pain management in Germany since 1977
Our present study we evaluated the local anesthetic effect of tramadol hydrochloride, but it should be noted that the present study involved soft tissue incision and bone removal while other studies involved only soft tissue surgery
Summary
Pain was defined in 1906 in The Devil’s Dictionary as “an uncomfortable frame of mind that may have a physical basis in something that is being done to the body or may be purely mental. Tramadol hydrochloride (HCl), a centrally acting opioid analgesic, was synthesized in 1962 by Grunenthal GmbH in Germany and was made available to use for pain management in Germany since 1977. It is effective for the treatment of moderate to severe pain such as, postsurgical pain, obstetric pain, terminal cancer pain and pain of coronary origin. Earlier studies used tramadol as anesthetic agent only for soft tissue procedures, until Yaha al Haideri used it for tooth extraction as an infiltrative anesthesia [4] Thahani used it for nerve blocks for surgical extraction of impacted tooth and periapical surgery. In this present study we will be again evaluating its local anaesthetic efficacy in various oral and maxillofacial procedures
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