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 140
- Downloads 0
Awake Retromolar Bonfils Intubation in Patient with Very Low Mouth Opening
According to the Italian Society of Anesthesiology (SIAARTI) guidelines, an awake fiberoptic intubation is the gold standard to manage a predicted difficult airway. At our institution, we are experienced in the use of th...
Reversal with Sugammadex in the Absence of Neuromuscular Monitoring
Sugammadex provides rapid and reliable recovery of neuromuscular (NM) function from rocuronium or vecuronium-induced NMblockade than neostigmine. The dose of sugammadex, ranges from 2 to 16 mg/kg, is adequately matched w...
The Effect of Different Levels of Elevated Artificial Pneumoperitoneum Pressure on the Cerebral Perfusion Pressure During Laparoscopic-Cholycystectomy
Background and Aims With increasing laparoscopic surgeries there is a lot of argument about its techniques as regard method for peritoneal cavity approach by creating pneumoperitoneum using Veress needle which may have m...
Bacterial Colonization and Infection Rate of Epidural Catheters used for Postoperative Analgesia
Background & Aim Epidural analgesia is one of the commonest modes for providing postoperative analgesia after surgery and epidural space infection is a major concern despite low incidence. We prospectively studied the in...
New Therapeutic Strategies for Ventricular Remodeling in Acute Myocardial Infarction and Pressure Overload: The Long Way to Heaven
Despite the striking improvements recently achieved in the diagnosis and treatment of acute myocardial infarction (AMI), this condition remains a leading cause of death worldwide. The term “ventricular remodeling” refers...