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Abstract
the Ambulator) anesthesia has become recognized as
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anesthetic subspecialty, expansion of this specialty is likely to continue with the growth in minimally-invasive surgical procedures.
The ability to control postoperative pain may make the difference between performing a given procedure on an inpatient or ambulatory basis.
Tramadol, an analgesic deriving part of its effect via opioid
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Agonist activity, might provide postoperative pain relief with minimal I risk of respiratory depression.
Meperidine is an upload agonist. binds to (.i-and ic-opioid receptors and is commonly used in treatment of postoperative pain.
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Nalbuphine is an upload kappa-agonist, mu-anatomist. 0L) limes as potent as morphine It has several advantages over other commonly used narcotic analgesics, little effect on the cardiovascular system and a lower incidence of nausea and vomiting.
This stud) was earned out on 60- ASA I or II patients scheduled
for elective surgery m Alexandria University Hospital
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The aim of this work was to compare the recovery pattern and
: The analgesic effects of intravenous tramadol, meperidine or
; nalbuphine and to determine the propensity of tramadol and
■ nalbuphine to induce respirator) depression relative to meperidine in
I doses commonl) used in clinical practice