Comparing the effects of preemptive ketamine and lornoxicam on postoperative tramadol consumption in patients undergoing laparoscopic cholecystectomy
Küçük Resim Yok
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Anestezi Dergisi
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To compare the postoperative analgesic effects of a preemptive intravenous ketamine and lornoxicam in patients undergoing laparoscopic cholecystectomy. Method: A total of 60 ASA I-II patients were included in this study and divided into three groups. Patients in Group KE were given 0.5 mg kg-1 ketamine, Group L were given 8 mg lornoxicam and in Group C were given 2 mL saline before surgical incision. All cases underwent general anesthesia and received postoperative patient-controlled analgesia with tramadol. VAS (Visual Analogue Scale) scores, at 0.,15.,30.th minutes and I .,2.,6.,12.,24.th hours, tramadol consumption, time and amount of additional analgesia were recorded Results: VAS scores, at 0., 15., 30. minutes and first hour were lower in group KE and L than group C (p<0.001) and there wasn't any difference between group KE and L (p>0.05). There was no significant difference between three groups regarding VAS scores at 2, 6,12, 24.'h hours (p>0.05). Time to first analgesia was later in group L than group C and KE (p<0.05). There was no difference between groups regarding to additional analgesia requirement. Tramadol consumption was lower in group L than group C, and there was no difference between group KE and group C.Conclusion: Lornoxicam and ketamine reduced the early postoperative pain and lornoxicam reduced total tramadol consumption more effectively than ketamine.
Açıklama
Anahtar Kelimeler
Analgesia; Ketamine; Lornoxicam; Patient-controlled Analgesia
Kaynak
Anestezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
24
Sayı
4
