title: [Tramadol infusion for pain therapy following bladder exstrophy surgery in pediatric wards].
abstract: We investigated in 17 children (mean 7.1 years) the continuous administration of tramadol following augmentation cystoplasty or exstrophy reconstruction. Mean duration of the tramadol administration on the pediatric ward was 3.8 +/- 1.1 days (initial dosage 0.25 mg/kg/per hour, dose adjustment by the nursing staff). Mean tramadol consumption was 0.21 mg/kg/h on day 1 and was reduced to 0.08 mg/kg/per hour on day 4. Median pain score (assessed with ten-step scales) was 5 before treatment and between 2.5 (day 1) and 0.5 (day 5) during therapy. Lowest oxygen saturations (mean) ranged from 93.8% to 95.2%. Three patients (17.6%) suffered from nausea/vomiting on 3 of 64 treatment days (4.7%). Pruritus and extreme sedation did not occur. The continuous administration of tramadol is a simple and safe procedure following major urological surgery in children.
authors.affiliation: Klinik für Anästhesiologie, Universität Erlangen-Nürnberg.
authors.forename: N
authors.initials: N
authors.lastname: Griessinger
authors.forename: W
authors.initials: W
authors.lastname: Rösch
authors.forename: G
authors.initials: G
authors.lastname: Schott
authors.forename: R
authors.initials: R
authors.lastname: Sittl
mesh_terms: D000293:Adolescent; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007262:Infusions, Intravenous; D008297:Male; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D014147:Tramadol / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D001745:Urinary Bladder Diseases / Q000601:surgery*
chemical_list: D000701:Analgesics, Opioid; D014147:Tramadol
vernacular_title: Tramadol-Infusion zur Schmerztherapie nach grossen Blaseneingriffen auf Kinderstationen.