Online ISSN: 2515-8260

Comparison of intravenous ketorolac and tramadol as Adjuvants in control of post-operative pain in patientsundergoing laparoscopic surgeries under general Anesthesia in a tertiary care hospital

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1Vinuth K Murthy, 2Vridhi Rajan, 3Abraham AA

Abstract

Aim and Objectives:To assess and compare the analgesic effects of adjuvants like intravenous Ketorolac and Tramadol in laparoscopic surgeries on post-operative pain and their side effects. Methodology: In this quasi experimental study,after approval from ethical committee and written informed consent taken from 90 patients of ASA physical status I,II of either sex scheduled to undergo elective laparoscopic surgeries under general anaesthesia were enrolled.Patients were randomly divided into one of the two groups of 45 patients each, patient received either Ketorolac (Group K) or Tramadol (Group T) 30 minutes before extubation. The degree of post-operative pain was assessed using VAS at 0, 2, 4 hours post operatively upto 24 hours and the need of rescue analgesic and the side effects of both drugs. Results: The pain score at 0 hours were more than 4 in both the groups. Statisticalanalysisshowedasignificantdifferencebetweenthe2groups in the second and fourth hour.Thereafter, the difference in pain scores in both Ketorolac group and Tramadol group were not significant. Conclusion: We conclude that both Ketorolac and Tramadol offer equal post-operative analgesia while Ketorolac had lesser side effects when compared to Tramadol.

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