EPIDURAL TRAMADOL FOR CANCER PAIN: A COMPARISON WITH EPIDURAL FENTANYL

DRB Rana

Abstract


Effective pain control is essential for optimal care in cancer patients. However, despite advances in the knowledge of Pathophysiology of pain and more effective techniques, patients continue to suffer considerable pain in many cancer situations especially in terminal stages. A multidisciplinary approach is always necessary and is encouraged for optimum pain control and should be approached. This study is an attempt to find out the efficacy of analgesic property of tramadol through epidural route in cancerous patients with pain. Addition of low dose bupivacaine was used in both the groups in an attempt to get a synergistic effect. A comparison was made with fentanyl, which is used widely and effectively in many painful situation

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