A comparison of the postoperative analgesic efficacy of three in one block with intravenous injection tramadol

Aim and objective: Aim of the present study was to compare the efficacy of Three In One block with intravenous injection tramadol used for postoperative analgesia. Methods: The study enrolling 60 patients of either sex (age 20-60 years), ASA grade I and II were randomly allocated into two groups of thirty each. Group I (Three In One block group) received 2.5 mg/kg of 0.5% bupivacaine + 25g fentanyl which was diluted with distilled water to make total volume of 40 ml, group 2 (intravenous tramadol group) received 2 mg/kg tramadol postoperatively. Hemodynamic parameters, respiratory rate, duration of postoperative analgesia and any complications were recorded. Results: Group I had better hemodynamic stability as compared to group II. The postoperative analgesia in group I was significantly better than group II. Three In One block was associated with fewer incidences of complications than intravenous tramadol. Conclusion: Three In One block is better alternative to intravenous tramadol for postoperative analgesia.