A study on curettage pain and hemodynamic parameters of curettage patients: Ketamine or Tramadol?

Autor: Hayriye Baltaoğlu Alp, Sevtap Darçın
Rok vydání: 2018
Předmět:
Zdroj: Journal of Human Sciences; Vol 14, No 4 (2017); 5020-5026
Uluslararası İnsan Bilimleri Dergisi; Vol 14, No 4 (2017); 5020-5026
ISSN: 2458-9489
1303-5134
Popis: Aim: The aim of this study was to compare ketamin(0.5mg/kg)-propofol(1mg/kg) and tramadol(1mg/kg)- propofol(1mg/kg) combination in patients undergoing uterine dilatation and curretage procedure in terms of total propofol requirement, pain scoring and recovery period of duration .Methods: 100 women under going uterine dilatation and curettage were screened retrospectively after ethical comitee approval. Patients are Dr. Faruk Sükan Doğumevi, Konya, Turkey in January-July 2014 . Baseline anesthesia was maintained with 1 mg/kg propofol, and the patients were randomly allocated to receive 0.5 mg/kg ketamine (Group 1, n=50) or 1 mg/kg tramadol (Group 2, n=50) there after. Pain scores, Aldrete scores, and hemodynamic parameters were recorded during and after the surgical procedure. A record was also maintained of any adverse events.Results: When the Aldrete scores at the end of operation, systolic pressures at basal, 0,5,10 minutes,end of op., oxygen saturation at basal,0,5,10 minutes,end of op., diastolic blood pressure at basal,0,5,10 minutes,end of op., heart rates, and visual analogue scores were compared, there was no significant difference between groups (p>0.05) Postoperative heart rate and systolic arterial pressure on beginning were significantly higher in Group 1 compared with Group 2Conclusion: Tramadol might be a better alternative drug rather than ketamine due to better hemodynamic stability and lower respiratory depression rate were seen in patents with it.
Databáze: OpenAIRE