Anesthesia
Conditions
Brief summary
The main goal of this study is to compare wound infiltration with ketorolac versus lidocaine for postoperative analgesia in total abdominal hystrectomy (TAH) operation.
Interventions
Before skin closure,the subcutaneous tissue and skin all around the wound will be infiltrated by 20 mL of the drug then closure of the skin will be done.
20 ml of 1% Lidocaine solution
20 mL of saline with 30 mg ketorolac
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status I and II * Planned for elective TAH with a Pfannenstiel incision
Exclusion criteria
Patients with the following criteria will be excluded from the study; * ASA physical status more than II * Body mass index (BMI)\>35 kg/m2 * Previous abdominal surgeries * Malignancy * Individuals with chronic pain * A history of severe systemic disease * A pre-existing neurological or psychiatric illness * Known to be addict on alcohol or drugs * Known allergy to the study drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rescue analgesia time | First 24 hours postoperatively | Time for first analgesia requirement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient's pain score | First 24 hours postoperatively | Pain score will be done by visual analog scale (VAS) (minimum 0 = no pain, while maximum 10 cm = worst possible pain). Pain score will be recorded just after extubation (taken as 0 h) and after 1, 2, 4, 6, 12, 18 and 24 h later. Patients will be instructed about the usage of VAS scalebefore the operation. |
| The total analgesic consumption | First 24 hours postoperatively | Postoperative analgesia will be provided with intramuscular (IM) meperidine 50 mg to both groups when the VAS score is ≥4. The total meperidine consumption will be recorded. |
Countries
Egypt