Post Operative Analgesia
Conditions
Brief summary
The current research is designed to investigate the analgesic efficacy of intravenous ibuprofen on the postoperative analgesic requirements, pain intensity and other recovery parameters.
Detailed description
The patients will be given general anaesthesia. Anaesthesia will be induced by propofol 1-2 mg/kg, and fentanyl 1-2 µg/kg. Endotracheal intubation will be facilitated by atracurium 0.5 mg/kg. Anaesthesia will be maintained by isoflurane in oxygen - air mixture. Transversus abdominis plane block will be performed at the end of the operation. A postoperative analgesic regimen according to group allocation will be started.
Interventions
800 mg of IV ibuprofen
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of anaesthesiologists physical status I to III. * Open abdominal hysterectomy operations
Exclusion criteria
* History of gastrointestinal bleeding. * History of intracranial haemorrhage. * Pregnancy and lactation. * Taking angiotensin converting enzyme(ACE) inhibitors or anticoagulation drugs. * Asthmatic, hepatic,renal or heart failure. * Abnormal platelet count.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Morphine consumption | Postoperative up to 24 hours | mg |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anaesthesia recovery time | Perioperative | Minutes |
| Duration of post anaesthesia care unit stay | First postoperative 24 hours | Minutes |
| Time of first ambulation | First postoperative 24 hours | Minutes |
| Duration of hospital stay | Postoperative up to 4 weeks | Days |
| Pain intensity | Postoperative up to 24 hours | Visual analogue score: a score from 0 to 10( 0= no pain and 10 the worst imaginable pain) |
| Mean arterial blood pressure | Perioperative | mmHg |
| Arterial oxygen saturation | Perioperative | Percentage |
| End tidal carbon dioxide | Perioperative | mmHg |
| Respiratory rate | Perioperative | Breath/minute |
| Heart rate | Perioperative | Beats/minute |
Countries
Egypt