Comparison of intravenous tramadol versus ketorolac in the management of postoperative pain after oral and maxillofacial surgery

Comparison of intravenous tramadol versus ketorolac in the management of postoperative pain after... Background The aim of this study was to assess the better postoperative analgesic, tramadol, and ketorolac, in patients with maxillofacial trauma and who had undergone maxillofacial surgery, i.e., open reduction internal fixation, under general anesthesia. Materials and methods After taking ethical approval from the institution and informed consent, 46 ASA grade I–II patients were block randomized (ABAB) based on inclusion and exclusion criteria and equally divided into two groups in which one group of patients was given intravenous tramadol 100 mg and another group of patients was given intravenous ketorolac 30 mg at the time of closure of skin and was repeated after 8 and 16 h following surgery. Pain using VAS at the 2nd, 4th, 6th, 12th, and 24th postoperative was assessed, and association of results was compared using Cramer’s V test SPSS (Version 22). Vital signs and side effects were recorded. Results Although both drugs resulted in significant decrease in pain intensity from the 2nd to 24th postoperative hour, intrave- nous tramadol always resulted in better pain control than intravenous ketorolac at every postoperative hour (p value < 0.05) except at 2nd hour where changes are non-significant (p value > 0.05). Conclusion Apart from first 2 h http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Oral and Maxillofacial Surgery Springer Journals

Comparison of intravenous tramadol versus ketorolac in the management of postoperative pain after oral and maxillofacial surgery

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Oral and Maxillofacial Surgery
ISSN
1865-1550
eISSN
1865-1569
D.O.I.
10.1007/s10006-018-0700-3
Publisher site
See Article on Publisher Site

Abstract

Background The aim of this study was to assess the better postoperative analgesic, tramadol, and ketorolac, in patients with maxillofacial trauma and who had undergone maxillofacial surgery, i.e., open reduction internal fixation, under general anesthesia. Materials and methods After taking ethical approval from the institution and informed consent, 46 ASA grade I–II patients were block randomized (ABAB) based on inclusion and exclusion criteria and equally divided into two groups in which one group of patients was given intravenous tramadol 100 mg and another group of patients was given intravenous ketorolac 30 mg at the time of closure of skin and was repeated after 8 and 16 h following surgery. Pain using VAS at the 2nd, 4th, 6th, 12th, and 24th postoperative was assessed, and association of results was compared using Cramer’s V test SPSS (Version 22). Vital signs and side effects were recorded. Results Although both drugs resulted in significant decrease in pain intensity from the 2nd to 24th postoperative hour, intrave- nous tramadol always resulted in better pain control than intravenous ketorolac at every postoperative hour (p value < 0.05) except at 2nd hour where changes are non-significant (p value > 0.05). Conclusion Apart from first 2 h

Journal

Oral and Maxillofacial SurgerySpringer Journals

Published: May 29, 2018

References

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