AbstractBackground: Tramadol administered intravenously has been demonstrated to decrease postoperative pain. In this study, the effect of intravenous tramadol administration on pain reliefafter caesarean section has been studied.Methods: 100 Women following elective/emergency caesarean section were included andwere divided into two groups, 50 in each. Group A received IV 100ml normal saline infusionover 15-20 minutes. Group B received 50 mg Tramadol intravenous infusion (1ml ampule in100ml NS over 15-20 minutes). Post caesarean pain was assessed by visual analogue scaleand by examining the patient at start of recruitment and 15mins, 1hour, 2hours, 3hours and4hours post section. Drug was administered 2 hours post section or 4 hours post spinal(considering average effect of spinal anaesthesia as 2 hours).Results: Mean pain intensity assessed on VAS was significantly better for tramadol groupcompared to placebo group at all the time points. Maximum fall in pain intensity score wasalso significantly superior in the tramadol group as compared to the placebo group. Nopatients required rescue medication in Tramadol group.Conclusion: Tramadol has more pronounced analgesic effect. Thus, Tramadol can beconsidered as an effective analgesic in treatment of post operative pain in post caesareanpatients

AbstractBackground: Tramadol administered intravenously has been demonstrated to decrease postoperative pain. In this study, the effect of intravenous tramadol administration on pain reliefafter caesarean section has been studied.Methods: 100 Women following elective/emergency caesarean section were included andwere divided into two groups, 50 in each. Group A received IV 100ml normal saline infusionover 15-20 minutes. Group B received 50 mg Tramadol intravenous infusion (1ml ampule in100ml NS over 15-20 minutes). Post caesarean pain was assessed by visual analogue scaleand by examining the patient at start of recruitment and 15mins, 1hour, 2hours, 3hours and4hours post section. Drug was administered 2 hours post section or 4 hours post spinal(considering average effect of spinal anaesthesia as 2 hours).Results: Mean pain intensity assessed on VAS was significantly better for tramadol groupcompared to placebo group at all the time points. Maximum fall in pain intensity score wasalso significantly superior in the tramadol group as compared to the placebo group. Nopatients required rescue medication in Tramadol group.Conclusion: Tramadol has more pronounced analgesic effect. Thus, Tramadol can beconsidered as an effective analgesic in treatment of post operative pain in post caesareanpatients