Shoulder Pain Post-Laparoscopy Surgery: Ketoprofen-Tramadol Infusional Therapy
Journal Title: Enliven: Journal of Anesthesiology and Critical Care Medicine - Year 2015, Vol 2, Issue 6
Abstract
Introduction Post-operative pain with difficult control, is a reality that can occur in patients undergoing laparoscopic cholecystectomy, it is good comprehensively assess the patient and give a painkiller scheme that ensures the absence of pain. Objective To compare the analgesic efficacy of tramadol-ketoprofen over a control group in three management schemes in infusional therapy; to control the painful entity (shoulder pain post-laparoscopy surgery). Material and Methods Clinical trial non-randomized; Group I (n = 15) managed with ketorolac 1mg/kg; Group II (n = 12) ketoprofen 100mg; Group III (n = 14) ketoprofen 50 mg plus tramadol 50 mg and Group IV (n = 15) ketoprofen 100 mg plus tramadol 100 mg. The variability analyzed was: Pain, pain bailouts, side effects and patient satisfaction. Results The highest intensity of pain was found in Group I (conventional) , unlike Group II and III where the predominant category was mild pain, the Group IV presents minimal pain events; 98% significance of p <0.01. Conclusion The analgesic efficiency of ketoprofen in infusional therapy is superior to the conventional administration of ketorolac; nevertheless the analgesic scheme handled with ketoprofen 100 mg plus tramadol 100 mg reaches the analgesic efficiency.
Authors and Affiliations
Ureña Frausto ielo Alborada, Plancarte-Sánchez Ricardo
Keywords
Related Articles
- EP ID EP618827
- DOI -
- Views 161
- Downloads 0
Opening the Microcirculation with Ketanserin I.V. Improves Peripheral Temperature: An Observational Cohort Study
Objectives Skin mottling and an increased delta temperature (deltaT) between core and peripheral sides as measurements of microcirculatory dysfunction are associated with increased mortality in intensive care patients. W...
Intra Peritoneal S Ketamine reduces Postoperative Analgesic Requirements in Morbidly Obese Patients A Controlled Study
Background This study was designed to evaluate the role of intraperitoneal S (+) ketamine in peripheral NMDA receptors blockade, and whether it reduces the postoperative analgesic requirements after bariatric surgery in...
Patient Controlled Epidural Analgesia (PCEA) with or without Background Infusion using Fentanyl and Bupivacaine for Major Upper Abdominal Surgery
Background Pain thresholds vary in individuals. Need for analgesia thereby differs in individuals. Methods The aim was to compare, patient controlled epidural analgesia (PCEA) with demand bolus (Group A) versus demand b...
A Complication of Tracheaesophageal Fistula Treatment with Glue: Endotracheal Cuff Adhesion
The repair of tracheoesophageal fistula (TEF) requires an important surgical process, surgical ligation of the fistula with a cervical or thorasic approach. Surgical treatment is associated with high morbidity and mortal...
Minimum Alveolar Concentration Needed to Block Adrenergic Response of Sevoflurane with Nitrous Oxide Varies Depending on the Stimulation Sites in Adult Surgical Patients
Background We examined whether minimum alveolar anesthetic concentration needed to block adrenergic response (MAC-BAR) of sevoflurane with nitrous oxide (N2O) varies depending on body surface sites to which noxious stimu...