Sublingual piroxicam for postoperative analgesia: preoperative versus postoperative administration: a randomized, double-blind study
| Autor: | Marcel Vercauteren, Marcel E. Durieux, H.-F. Gramke, Jurgen J. J. Petry, Marco A. E. Marcus, Georges Verheecke, Jean-P. Mustaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Analgesic Administration Sublingual Piroxicam Placebo Preoperative care Double-Blind Method Preoperative Care Medicine Humans Clinical significance Antipyretic Prospective Studies Prospective cohort study Pain Measurement Postoperative Care Pain Postoperative business.industry Surgery Anesthesiology and Pain Medicine Anesthesia Female Tramadol Analgesia business medicine.drug |
| Zdroj: | Anesthesia and analgesia |
| ISSN: | 0003-2999 |
| Popis: | Nonsteroidal antiinflammatory drugs have been used to obtain preemptive analgesia. We investigated, in this randomized, double-blind study, whether sublingual (s.l.) piroxicam given before was more effective than that given after surgery. Fifty-two patients scheduled for laparoscopic bilateral inguinal hernia repair under general anesthesia were enrolled. Group PRE (25 patients) received 40 mg of piroxicam s.l. 2 h before surgery and a placebo 10 min after surgery. Group POST (27 patients) were treated with a placebo 2 h before surgery and received 40 mg of piroxicam s.l. 10 min after surgery. After an initial dose of 100 mg tramadol IV, patient-controlled analgesia with tramadol was started and recorded. Visual analog scores were assessed in the recovery and at 6, 20, and 30 h postoperatively. Significantly lower visual analog scores were found in group PRE at 6 and 20 h. Significantly smaller cumulative tramadol consumption was observed after 30 h in group PRE. In summary, our findings suggest that preoperative s.l. piroxicam is more effective than the postoperative administration. Because of the low pain scores in both groups, the clinical relevance of these findings is not clear from this study. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|