Ketorolac does not decrease postoperative pain in elderly men after transvesical prostatectomy
Autor: | D. Olsfanger, Robert Jedeikin, Phillip Flor, Brian Fredman |
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Rok vydání: | 1996 |
Předmět: |
Male
medicine.medical_specialty health care facilities manpower and services medicine.medical_treatment Postoperative pain Pain medicine Analgesic Double-Blind Method Anesthesiology medicine Humans Tolmetin Aged Aged 80 and over Prostatectomy Pain Postoperative Chemotherapy Transvesical prostatectomy integumentary system business.industry social sciences General Medicine Analgesics Non-Narcotic Middle Aged humanities Surgery body regions Ketorolac Anesthesiology and Pain Medicine Anesthesia business medicine.drug |
Zdroj: | Canadian Journal of Anaesthesia. 43:438-441 |
ISSN: | 1496-8975 0832-610X |
DOI: | 10.1007/bf03018103 |
Popis: | To assess the postoperative analgesic efficacy and morphine-sparing effect of ketorolac in elderly patients.Sixty ASA-physical status I to III men, aged 60-88 yr, undergoing transvesical prostatectomy were studied according to a randomized, placebo controlled, double-blind study protocol. A standard general anaesthetic was administered. Thirty minutes before concluding the surgical procedure either ketorolac 60 mg or an equal volume of saline was administered, im. Postoperative pain was assessed hourly for six hours using a 100 mm visual analog score (VAS) and a patient-controlled analgesia (PCA) device.Hourly PCA-demands, actual morphine delivered, and patient generated VAS pain scores were unaffected by the treatment modality. On conclusion of the study the total PCA morphine delivered was 11.9 mg +/- 1.38 and 10.8 mg +/- 1.52 for the saline and ketorolac groups, respectively.The intraoperative administration of ketorolac, 60 mg, im, was not associated with postoperative morphinesparing or improved analgesia in this elderly population. |
Databáze: | OpenAIRE |
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