[Tramadol/acetaminophen combination tablets].

Tramadol/acetaminophen fixed-dose combination tablets (Tramse) combine tramadol, a centrally acting week opioid analgesic, with low-dose acetaminophen. The action of tramadol may be described as a weak agonist at the mu-opioid receptor, inhibition of serotonin reuptake, and inhibition of noradrenaline reuptake. The second component in these tablets, acetaminophen mainly appears to act through central mechanism.

Cauda equina syndrome following combined spinal and epidural anesthesia: a case report.

Purpose: To describe a case of complete neurological recovery from cauda equina syndrome lasting ten months following spinal anesthesia with 0.5% hyperbaric bupivacaine and epidural anesthesia with ropivacaine, and to discuss the possible mechanisms involved.

Clinical Findings: A 79-yr-old man with Paget's disease was scheduled for surgery to remove a skin tumour below his scrotum.