Postoperative Pain
Conditions
Keywords
Lower abdominal surgery, Paracetamol, Lornoxicam, Morphine
Brief summary
Background: The aim of this prospective, randomized, double-blind study is to determine the most effective supplemental analgesic, paracetamol or lornoxicam for postoperative pain relief after lower abdominal surgery. Methods: Sixty patients scheduled for lower abdominal surgery under general anesthesia were randomly allocated to receive either isotonic saline (Control group), intravenous paracetamol 1 g every 6 h (Paracetamol group) or lornoxicam 16 mg then 8 mg after 12 h (Lornoxicam group). Additionally pain was treated postoperatively using morphine patient-controlled analgesia. Postoperative pain scores measured by the verbal pain score (VPS), morphine consumption and the incidence of side effects were measured at 1, 2, 4, 8, 12 and 24 hours postoperatively.
Interventions
normal saline
IV paracetamol infusion
16 mg at skin closure and 8 mg 12 hours postoperative
Sponsors
Study design
Eligibility
Inclusion criteria
* lower abdominal surgery
Exclusion criteria
* body weight more than 150% of their ideal body weight * history of significant cardiac, pulmonary, renal, hepatic or hematological disease; chronic drug or alcohol abuse; hypersensitivity to any of the studied drugs; bronchial asthma; gastritis or peptic ulcer; and pregnancy * patients who received any analgesic drug a day before surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 24 hours | Postoperative pain scores measured by the verbal pain score (VPS)1, 2, 4, 8, 12 and 24 hours postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Morphine consumption | 24 hours | pain was treated postoperatively using morphine patient-controlled analgesia. Morphine consumption was measured at 1, 2, 4, 8, 12 and 24 hours postoperatively |
| Incidence of side-effects | 24 hours | incidence of side effects was measured at 1,2,4,8, 12, 24 hr postoperatively. |
Countries
Saudi Arabia