title: [Use of tramal during minor surgical interventions in children].
abstract: Intraoperative analgesia was performed using a combination of tramal at a dose of 2-2.5 mg/kg and transcranial electrical stimulation under halothane-nitrous oxide-oxygen mask anesthesia. The study was performed in 12 apparently healthy boys aged 11-13 operated on for II to III degree varicocele. The efficacy of postoperative analgesia was assessed in 68 children aged 8 to 14 subjected to surgery for inguinal and umbilical hernia, varicocele, cryptorchidism. Parameters of central hemodynamics and cardiopolygraphy have been assessed. Intraoperative use of tramal was accompanied by a prompt recovery of the balance between sympathetic and parasympathetic impacts on the heart and stability of central hemodynamic parameters. Postoperative analgesia with tramal is an effective technique enabling a prompt recovery of pain-induced disturbances in the relations between sympathetic and parasympathetic compartments of the autonomic nervous system. Among the adverse events one can name nausea (25%), repeated vomiting (12%) and allergic reactions (1.4%).
authors.forename: I F
authors.initials: IF
authors.lastname: Ostreĭkov
authors.forename: V N
authors.initials: VN
authors.lastname: Sen'kov
authors.forename: E S
authors.initials: ES
authors.lastname: Kurilova
authors.forename: V P
authors.initials: VP
authors.lastname: Bershinskiĭ
authors.forename: S A
authors.initials: SA
authors.lastname: Pivovarov
authors.forename: B D
authors.initials: BD
authors.lastname: Babaev
mesh_terms: D000328:Adult; D000367:Age Factors; D000758:Anesthesia; D002648:Child; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008297:Male; D013511:Minor Surgical Procedures; D011184:Postoperative Period; D014147:Tramadol / Q000008:administration & dosage* / Q000494:pharmacology
chemical_list: D014147:Tramadol
vernacular_title: Primenenie tramala pri malykh khirurgicheskikh vmeshatel'stvakh u deteĭ.