Urbieta-Arciniega JI, Silva-Jiménez A, Castillo-Becerril G, Olvera-Morales G

Language: Spanish
References: 23
Page: 92-96
PDF size: 84.36 Kb.

ABSTRACT

A longitudinal, prospective, descriptive, comparative study was carried out in 60 ASA I and ASA II adult patients, ages 18 to 70, undergoing general abdominal surgery or orthopedic surgery at the Hospital Central Norte, PEMEX, in Mexico City. The general aim was to assess the analgesic effect and adverse effects of the simultaneous administration of subcutaneous tramadol hydrochloride and intravenous ketorolac tromethamine for the control of acute postoperative pain. Pain was assessed using the Visual Analogue Scale (VAS). Thirty patients were assigned into each of two groups: Group 1, patients undergoing abdominal surgery, and Group 2, patients undergoing orthopedic surgery. Before induction, 1.5 mg/kg subcutaneous tramadol hydrochloride and 1 mg/kg ketorolac tromethamine were given (single dose each). Pain was assessed by means of the VAS score. Postoperative adverse effects were also assessed. We found out that the combination of tramadol hydrochloride and ketorolac tromethamine is useful for pain control in orthopedic procedures. Adverse effects observed were nausea and vomit, but these were not statistically significant.

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