Remifentanil and tramadol

被引:70
作者
Duthie, DJR [1 ]
机构
[1] Univ Leicester, Glenfield Hosp, Dept Anaesthesia, Leicester LE3 9QP, Leics, England
关键词
analgesics opioid; remifentanil; tramadol;
D O I
10.1093/bja/81.1.51
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The lack of analgesic efficacy limits tramadol as a sole agent to treat severe pain after surgery. However, it has a relative lack of respiratory depressant and constipating effects compared with morphine and codeine, and does not share the propensity of nonsteroidal anti-inflammatory drugs to provoke asthma, gastrointestinal mucosal damage and renal impairment. It may well have a place in the management of pain after surgery, in combination with another drug, such as paracetamol, or after control of the worst of pain after surgery by a regional local anaesthetic technique.
引用
收藏
页码:51 / 57
页数:7
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