Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy

Background & objectives: The aim of this study was to evaluate the effects of preventive administration of ketamine, fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy. Methods: In this clinical trial, 80 candidates of deep vitrectomy surgery were randoml...

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Main Authors: Hamid reza Shetabi, Dariush Moradi farsani, Mohammad Razani
Format: Article
Language:fas
Published: Ardabil University of Medical Sciences 2021-03-01
Series:Journal of Ardabil University of Medical Sciences
Subjects:
Online Access:http://jarums.arums.ac.ir/article-1-2049-en.html
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author Hamid reza Shetabi
Dariush Moradi farsani
Mohammad Razani
author_facet Hamid reza Shetabi
Dariush Moradi farsani
Mohammad Razani
author_sort Hamid reza Shetabi
collection DOAJ
description Background & objectives: The aim of this study was to evaluate the effects of preventive administration of ketamine, fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy. Methods: In this clinical trial, 80 candidates of deep vitrectomy surgery were randomly assigned into 4 groups (1-4) and received 0.5 mg / kg ketamine, 2 μg / kg fentanyl, 10 mg/kg of paracetamol and equivolume of normal saline respectively intravenous infusion during the last 15 minutes of surgery. Pain intensity and hemodynamic parameters were recorded and analyzed. Results: Pain intensity was significantly higher in placebo group during the first 4 hours after operation (p<0.01), but no significant differences were observed between the study groups at 8 and 24 hours after operation in this regard. There were no significant differences between the three intervention groups in terms of pain intensity during the study. Also there were no significant differences between the 4 study groups regarding to hemodynamic parameters. Conclusion: The use of each of the three intervention drugs significantly reduced the pain intensity compared to the control group without any hemodynamic derangement.
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spelling doaj.art-e89e82a906b54cc0a24c2721e20d01f82022-12-22T02:05:58ZfasArdabil University of Medical SciencesJournal of Ardabil University of Medical Sciences2228-72802228-72992021-03-0121190101Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep VitrectomyHamid reza Shetabi0Dariush Moradi farsani1Mohammad Razani2 Department of anesthesia, school of medicine, Isfahan University of medical sciences, Isfahan, Iran. Department of anesthesia, school of medicine, Isfahan University of medical sciences, Isfahan, Iran. Department of anesthesia, school of medicine, Isfahan University of medical sciences, Isfahan, Iran. Background & objectives: The aim of this study was to evaluate the effects of preventive administration of ketamine, fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy. Methods: In this clinical trial, 80 candidates of deep vitrectomy surgery were randomly assigned into 4 groups (1-4) and received 0.5 mg / kg ketamine, 2 μg / kg fentanyl, 10 mg/kg of paracetamol and equivolume of normal saline respectively intravenous infusion during the last 15 minutes of surgery. Pain intensity and hemodynamic parameters were recorded and analyzed. Results: Pain intensity was significantly higher in placebo group during the first 4 hours after operation (p<0.01), but no significant differences were observed between the study groups at 8 and 24 hours after operation in this regard. There were no significant differences between the three intervention groups in terms of pain intensity during the study. Also there were no significant differences between the 4 study groups regarding to hemodynamic parameters. Conclusion: The use of each of the three intervention drugs significantly reduced the pain intensity compared to the control group without any hemodynamic derangement.http://jarums.arums.ac.ir/article-1-2049-en.htmldeep vitrectomyfentanylketaminepain intensityparacetamol
spellingShingle Hamid reza Shetabi
Dariush Moradi farsani
Mohammad Razani
Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy
Journal of Ardabil University of Medical Sciences
deep vitrectomy
fentanyl
ketamine
pain intensity
paracetamol
title Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy
title_full Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy
title_fullStr Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy
title_full_unstemmed Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy
title_short Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy
title_sort effects of ketamine fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy
topic deep vitrectomy
fentanyl
ketamine
pain intensity
paracetamol
url http://jarums.arums.ac.ir/article-1-2049-en.html
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AT dariushmoradifarsani effectsofketaminefentanylandparacetamolonpainintensityandhemodynamicparametersafterdeepvitrectomy
AT mohammadrazani effectsofketaminefentanylandparacetamolonpainintensityandhemodynamicparametersafterdeepvitrectomy