Ketorolac and pethidine in post-operative pain relief

The study was designed to compare the analgesic efficacy and safety of ketorolac and pethidine in pain relief after major surgeries. A prospective, interventional study was conducted on 71 patients under-going major surgical intervention. Thirty six patients received ketorolac (15 mg, intramuscular...

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Main Author: Md. Burhan Uddin, A.K.M. Mosharrof Hossain, Meer Mahbubul Alam and A.Z.M. Shakhawat Hossain
Format: Article
Language:English
Published: Bangladesh Pharmacological Society 2007-06-01
Series:Bangladesh Journal of Pharmacology
Subjects:
Online Access:http://www.bdjpharmacol.com/journalbdps0201/020135.pdf
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author Md. Burhan Uddin, A.K.M. Mosharrof Hossain, Meer Mahbubul Alam and A.Z.M. Shakhawat Hossain
author_facet Md. Burhan Uddin, A.K.M. Mosharrof Hossain, Meer Mahbubul Alam and A.Z.M. Shakhawat Hossain
author_sort Md. Burhan Uddin, A.K.M. Mosharrof Hossain, Meer Mahbubul Alam and A.Z.M. Shakhawat Hossain
collection DOAJ
description The study was designed to compare the analgesic efficacy and safety of ketorolac and pethidine in pain relief after major surgeries. A prospective, interventional study was conducted on 71 patients under-going major surgical intervention. Thirty six patients received ketorolac (15 mg, intramuscularly 6 hourly) and the rest 35 patients received pethidine (100 mg, intramuscularly 6 hourly) for 48 hours post-operatively. Analgesic efficacy and safety of ketorolac were compared with that of pethidine after 1, 6, 12, 24, 32 and 48 hours of drug administration. Analgesic efficacy was measured using Visual Analogue Scale (VAS) and Verbal Rating Scale (VRS). Safety of the drugs was assessed by using sedation score and also recording adverse drug events. Ketorolac showed equianalgesic effect as pethidine estimated by VAS score at 12th and 48th hour and by VRS score at 1st and 48th hour of post-operative period. In other periods of observation, pethidine exhibited better analgesic effects than ketorolac. Ketorolac was better tolerated than pethidine and had less adverse effects compared to pethidine. This study showed that post-operative pain during the first 48 hours can be relieved by either ketorolac or pethidine. Ketorolac appeared safer than pethidine while pethidine appeared more effective analgesic than ketorolac in the management of post-operative pain. Further studies including double-blind randomized trial have been suggested to confirm the present study.
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spelling doaj.art-c68031ce64214664bd3953cc8abbb1342022-12-22T03:05:43ZengBangladesh Pharmacological SocietyBangladesh Journal of Pharmacology1991-007X1991-00882007-06-01213542Ketorolac and pethidine in post-operative pain reliefMd. Burhan Uddin, A.K.M. Mosharrof Hossain, Meer Mahbubul Alam and A.Z.M. Shakhawat HossainThe study was designed to compare the analgesic efficacy and safety of ketorolac and pethidine in pain relief after major surgeries. A prospective, interventional study was conducted on 71 patients under-going major surgical intervention. Thirty six patients received ketorolac (15 mg, intramuscularly 6 hourly) and the rest 35 patients received pethidine (100 mg, intramuscularly 6 hourly) for 48 hours post-operatively. Analgesic efficacy and safety of ketorolac were compared with that of pethidine after 1, 6, 12, 24, 32 and 48 hours of drug administration. Analgesic efficacy was measured using Visual Analogue Scale (VAS) and Verbal Rating Scale (VRS). Safety of the drugs was assessed by using sedation score and also recording adverse drug events. Ketorolac showed equianalgesic effect as pethidine estimated by VAS score at 12th and 48th hour and by VRS score at 1st and 48th hour of post-operative period. In other periods of observation, pethidine exhibited better analgesic effects than ketorolac. Ketorolac was better tolerated than pethidine and had less adverse effects compared to pethidine. This study showed that post-operative pain during the first 48 hours can be relieved by either ketorolac or pethidine. Ketorolac appeared safer than pethidine while pethidine appeared more effective analgesic than ketorolac in the management of post-operative pain. Further studies including double-blind randomized trial have been suggested to confirm the present study.www.bdjpharmacol.com/journalbdps0201/020135.pdfketorolacpethidinepost-operative painverbal rating scalevisual analogue scale
spellingShingle Md. Burhan Uddin, A.K.M. Mosharrof Hossain, Meer Mahbubul Alam and A.Z.M. Shakhawat Hossain
Ketorolac and pethidine in post-operative pain relief
Bangladesh Journal of Pharmacology
ketorolac
pethidine
post-operative pain
verbal rating scale
visual analogue scale
title Ketorolac and pethidine in post-operative pain relief
title_full Ketorolac and pethidine in post-operative pain relief
title_fullStr Ketorolac and pethidine in post-operative pain relief
title_full_unstemmed Ketorolac and pethidine in post-operative pain relief
title_short Ketorolac and pethidine in post-operative pain relief
title_sort ketorolac and pethidine in post operative pain relief
topic ketorolac
pethidine
post-operative pain
verbal rating scale
visual analogue scale
url http://www.bdjpharmacol.com/journalbdps0201/020135.pdf
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