The effect of Preoperative intramuscular diclofenac sodium on the intravenous patient-controlled analgesia

YEĞİN M. A., Buyukgebiz B., Arslan A., KARSLI B., Trakya A.

10th World-Society-of-Pain-Clinicians of the International Pain Clinic, SARDINIA, İtalya, 4 - 08 Mayıs 2002, ss.207-210 identifier

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: SARDINIA
  • Basıldığı Ülke: İtalya
  • Sayfa Sayıları: ss.207-210
  • Akdeniz Üniversitesi Adresli: Evet

Özet

30 ASA class I - 11 patients undergoing intraabdominal surgery were included in this study. Patients were randomly divided into two groups. In Group 1, 3 mL saline IM, and in Group 11 3 mL (75 mg) diclofenac sodium was administered 45 min before anesthetic induction. Postoperative analgesia was performed with IV PCA with a concentration of 10 mg/mL tramadol. Intraoperative analgesic requirements, heamodynamic changes, and postoperative pain scores were recorded. Also tramadol comsumption and demand / delivery ratio were recorded from the PCA device. Intraoperative fentanyl consumption was significantly lower in group 11 (p<0.05). Total tramadol consumption, demand/delivery ratio, postoperative pain scores, and rescue analgesic requirements were not significantly different between groups. We concluded that preoperative IM diclofenac sodium administration decreases intraoperative analgesic consumption, but its effect on postoperative analgesia is insufficent.