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JARMS. 2014; 6(4): 258-263


COMAPARATIVE STUDY OF INTRAVENOUS KETAMINE WITH INTRAVENOUS KETAMINE AND TRAMADOL IN LABOUR ANALGESIA

*Duggal Geetika, Sheetal, Sumitra, Mehta Vibha.

Abstract
The aim of the study was to evaluate the efficacy of intravenous ketamine with intravenous Ketamine and Tramadol as analgesic agents for
painless labour and to observe the effect on parturients and the foetus. Patients and methods: 50 female parturients of ASA Gr I were
divided into groups of twenty five each. In Group A Ketamine 0.2mg/kg as bolus dose was given and for maintenance continuous infusion
of Ketamine 50 mg in 500 ml of 5% Dextrose was given. In Group B an additional dose of intravenous Tramadol 1.5mg/kg was given
after giving bolus dose of Ketamine and half the dose given earlier was repeated when cervix was fully dilated .The various parameters
monitored were pulse, Blood pressure, degree of analgesia, duration of labour, foetal heart rate, total dose of ketamine and Tramadol used
and side effects or complications, if any. Pain measurement was done with visual linear analogue scale. Condition of newborn was assessed
according to Apgar score at 1 min., and at 5 min. Data was tabulated and analysed by calculating p value and Chi square test . Results &
Conclusion; We observed better analgesia and better neonatal outcome in Group B patients.

Key words: Labour Analgesia, Ketamine, Tramadol



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