View Article

Abstract

Pain or Algesia is an unpleasant bodily sensation usually evoked by an external or internal noxious stimulus. The amount of pain a patient goes through after a surgery is related to the site of surgery and extent of tissue damage. Less than half of the patients who have undergone surgery report of the adequate postoperative pain relief. Proper Post-operative pain control leads to reduction in length of hospital stay, aids in earlier patient mobilization and increased ability to perform daily living activities. The purpose of this study is to compare ketorolac, paracetamol and tramadol in terms of efficacy, safety and post-operative analgesia in patients undergoing orthopaedic and general surgeries. This is a prospective, randomized, comparative, observational study carried out on 120 patients of age 12-75 years undergoing orthopaedic and general surgeries. The patients were divided into three groups in which group 1 was given 30mg ketorolac intramuscularly, group 2 was given 1g paracetamol intravenously and group 3 was given 100mg tramadol intravenously. Duration of post-operative analgesia, pain score, pain onset time, median time to rescue analgesic, pain free interval, hemodynamic parameters and incidence of adverse effects were recorded and statistically analysed using chi-square test. The study concluded that, Ketorolac when given post-operatively is a more effective analgesic when compared with paracetamol and tramadol as it gives a longer duration of analgesia which decreases the use of rescue analgesic.

Keywords

Post-operative pain, Ketorolac, Paracetamol, Tramadol, Surgeries, Orthopaedic

Reference

  1. Mersky H. Pain terms: A list with definitions and notes on usage recommended by the IASP subcommittee on Taxonomy. Pain.1979; 6:249-252.
  2. https://www.researchgate.net/publication/263543237_Assessment_of_pain_types_mechanism_and_treatment
  3. Horn R, Kramer J. Postoperative Pain Control. In: StatPearls. StatPearls
  4. Publishing, Treasure Island (FL); 2021. PMID: 31335018
  5. Alex Macario, MD, MBA, Arthur G. Lipman, PharmD, Ketorolac in the Era of Cyclo-Oxygenase-2 Selective Nonsteroidal Anti-Inflammatory Drugs: A Systematic Review of Efficacy, Side Effects, and Regulatory Issues, Pain Medicine, Volume 2, Issue 4, December 2001, Pages 336–351,
  6. https://www.researchgate.net/figure/Schematic-representation-of-the-generation-of-neuropathic-pain-A-Central-terminals-of_fig5_6856692
  7. Oxford League Table of Analgesics in Acute Pain. Bandolier Web site. Available at: http://www.jr2.ox.ac.uk/bandolier/booth/painpag/Acutrev/An algesics/Leagtab.html. Accessed April 18, 2006.
  8. Cook RJ, Sackett DL. The number needed to treat: a clinically useful measure of treatment effect. BMJ 1995;310:452-454.
  9. Atkinson, T., Rushman, G.B., Davies, N. Acute pain. In: Lee's synopsis of Anaesthesia. 11 th ed. Butterworth-Heinemann Ltd: Oxford, 1997.
  10. The Royal College of Surgeons (RCS) of England. The College of Anaesthetists Commission for the Provision of Surgical Services. Report of the Working Party on Pain after Surgery. London: RCS, 1990.
  11. Przyby?a, Grzegorz W., Konrad A. Szychowski, and Jan Gmi?ski. "Paracetamol–An old drug with new mechanisms of action." Clinical and Experimental Pharmacology and Physiology 48.1 (2021): 3-19 https://doi.org/10.1111/1440-1681.13392.

Photo
Syed Jaffer
Corresponding author

Assistant Professor, Department of Pharmacy Practice, Sultan-ul-Uloom College of Pharmacy, JNTUH, Hyderabad, Telangana, India

Photo
Shaista Sumayya
Co-author

Pharm D, Sultan-ul-Uloom College of Pharmacy, JNTUH, Hyderabad, Telangana, India

Photo
Meraj fatima
Co-author

Pharm D, Sultan-ul-Uloom College of Pharmacy, JNTUH, Hyderabad, Telangana, India

Photo
Safa mehboobunnisa siddiqi
Co-author

Pharm D, Sultan-ul-Uloom College of Pharmacy, JNTUH, Hyderabad, Telangana, India

Photo
Ruqshan Nazneen
Co-author

Pharm D, Sultan-ul-Uloom College of Pharmacy, JNTUH, Hyderabad, Telangana, India

Syed Jaffer*, Shaista Sumayya, Meraj Fatima, Safa Mehboobunnisa Siddiqi, Ruqshan Nazneen, A Comparative Study of Ketorolac, Paracetamol and Tramadol for Post-Operative Pain Management in General And Orthopedic Surgeries, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 6, 18-26. https://doi.org/10.5281/zenodo.8025726

More related articles
Analytical Method Development and Validation of UV...
Dr. Kiran Kumar Buralla, Bhavani Chirra, Triveni Chodavarapu, Dom...
Formulation, Development and Evaluation of Clarith...
G. Hariharaputhraayyanar, T. Tamilveeran, D. Jothika, P. Lokeshwa...
A Review On Suppositories...
N Deekshitha Reddy , K. Muniraja Lakshmi, ...
A Review on Maytenus Emarginata Herbal Ointment for Burn Treatment...
Ajinkya Shinde, Dipika Patil, Darshan Shirude, Darshan Sonawane, Avijita Surve, Jagruti Suryawanshi,...
Development Of Bidens Pilosa Extract Based Emulsion Using Carbopol 950 For Its A...
Akshaya A., Jones Felix C. K. , Prabhahar B. , Kumaravel S., Ramesh M., Jesteena Johney, Ragunathan ...
Tinospora Cordifolia – As An Anticancer Agent: Recent And Advance Study...
Arpita R. Pawar, Ashwini T. Chougule, Jaya R. Kamble, Pritam Salokhe, Nilesh B. Chougule, ...
Related Articles
In Silico Design And ADME Study Of Novel Benzimidazole Containing Derivatives As...
Sandip S. Chaudhari , Megha R. Mahajan , Puja R. Khodape, Diksha N. Koli, Tarannum R. Sayyyad , Pras...
Film-Forming Gels: An Innovative Drug Delivery System for Enhanced Therapeutic E...
Neethu K. C., Mounika R., Muralidharan C., N. Jeevitha, N. Nandhishri, Namitha, ...
A Review Article on Amyotrophic Lateral Sclerosis...
Padala Ramesh, Aleena Maria Martin, Maddula Nikitha Reddy, Gavindla Manisha, ...
Study of Nigella Sativa on Diabetes Mellitus...
Kaje Geeta Nandkishor , Thore Dinesh Dipak , ...
Analytical Method Development and Validation of UV Spectrophotometric for Levofl...
Dr. Kiran Kumar Buralla, Bhavani Chirra, Triveni Chodavarapu, Dommeti Divya SaiDurga, Dutchari Yamin...
More related articles
Analytical Method Development and Validation of UV Spectrophotometric for Levofl...
Dr. Kiran Kumar Buralla, Bhavani Chirra, Triveni Chodavarapu, Dommeti Divya SaiDurga, Dutchari Yamin...
Formulation, Development and Evaluation of Clarithromycin Floating Tablets by Us...
G. Hariharaputhraayyanar, T. Tamilveeran, D. Jothika, P. Lokeshwari, S. Rithick Raja, M. Sriram, E. ...
A Review On Suppositories...
N Deekshitha Reddy , K. Muniraja Lakshmi, ...
Analytical Method Development and Validation of UV Spectrophotometric for Levofl...
Dr. Kiran Kumar Buralla, Bhavani Chirra, Triveni Chodavarapu, Dommeti Divya SaiDurga, Dutchari Yamin...
Formulation, Development and Evaluation of Clarithromycin Floating Tablets by Us...
G. Hariharaputhraayyanar, T. Tamilveeran, D. Jothika, P. Lokeshwari, S. Rithick Raja, M. Sriram, E. ...
A Review On Suppositories...
N Deekshitha Reddy , K. Muniraja Lakshmi, ...