Title
Tramadol Versus Fentanyl for Post-Operative Analgesia in Newborn Infants
Post-Operatory Analgesia in Newborn Infants: a Comparative Study of Fentanyl Versus Tramadol
Phase
Phase 3Lead Sponsor
University of Sao PauloStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Pain Neonatal Infections AnalgesiaStudy Participants
160In newborn infants submitted to surgical procedures, tramadol may provide an effective analgesia and decrease the time on mechanical ventilation support and the time to achieve full enteral feeding.
Fentanyl: 1 µg/kg/h for preterm infants and 2 µg/kg/h for term infants for 48 hours and than gradually decrease until interruption of the drug.
Tramadol: 0.1 mg/kg/h for preterm infants and 0.2 mg/kg/h for term infants for 48 hours and than gradually decrease until interruption of the drug.
Patients that received continued infusion of tramadol at a steady dose for the first 48 hours and, then, doses were gradually decreases until stop
Patients that received continued infusion of fentanyl at a steady dose for the first 48 hours and, then, doses were gradually decreases until stop
Inclusion Criteria: Infant 0-28 days of life with indication of large or medium surgical procedure (definition according to the American College of Cardiology, American Heart Association - 2002) Exclusion Criteria: Death or hospital discharge until 72 hours after surgical procedure New surgery until 72 hours after the studied surgical procedure Proved bacterial infection before surgery Ambiguous genitalia Chromosomal syndromes