Tramadol in Penial Block Does it Improve Efficiency of Postoperative Analgesia in Circumcision

After the consent of the local ethics committee and informed consent of the parents, we conducted a prospective randomized, double-blind study, from 30 June 2014 to 31 December 2014, including one to eight year olds, ASA I or II and Programmed for circumcision. Anesthesia was induced with sevoflurane at 8% and maintained by the same agent at 2%. The children were randomized to 2 groups (n = 53 in each group) to receive 0.1% BPV non-adrenalinated 0.5% / kg on each side with either tramadol 2mg / Kg (G1: GroupBT ) Or saline serum at the same volume (G2: Group B or control). Postoperative analgesia was assessed by: the modified OPS scale at waking (H0), 1st (H1), 2nd (H2), and 24th (H24) PO hour at home, by the number of analgesic inThe hospital and at home, and by the time of the first demand analgesic.

Inclusion criteria

• ASA physical status I or II
• Were scheudled to circumcision surgery
• Performed by experenced surgeon under general anesthesia

Exclusion criteria

• children with full stomach
• A history of gastric reflux
• A history of cardiovascular or neuromuscular disease
• Allergies to the study drugs