17. Comparing the Analgesic Effects of IV Paracetamol Plus Ketorolac and IV Fentanyl for Pain Control after Thyroidectomy
Munir Ahmad1, Zeeshan Afzal1, Umer Tayyeb1 and Muhammad Yousef2
ABSTRACT
Objective: To determine the analgesic effects of intravenous paracetamol plus ketorolac and intravenous fentanyl for pain control after Thyroidectomy.
Study Design: A Randomized Control Trail study.
Place and Duration of Study: This study was conducted at the Department of Anesthesiology, Nishtar Hospital Multan, January 2017 to December 2017.
Materials and Methods: Total 128 patients was included in our study. All patients were divided in two equal groups, group P and Group F, with 64 patients in each group. Group P patients received IV paracetamol plus ketorolac where as Group F patients were managed by IV fentanyl for postoperative pain. Visual Analog Scale on 010 was used for assessment of pain and whole procedure was explained to the patients. Pain scores were interpreted as 0=no pain, 1-4=mild pain, 5-7=moderate pain and 8-10=severe pain. Data regarding age, VAS score and side effects was analyzed by using SPSS version 23. Mean and standard deviation was calculated for numerical variables, while frequency and percentage was calculated for qualitative variables. Statistical analysis was carried out using computer software SPSS version 23. T test was applied for quantitative data and Chi square test for qualitative data. P value less than or equal to 0.05 was taken as significant.
Results: In group-P, 55(85.94%) patients experienced mild pain, 6(9.37%) patient experienced moderate pain and 3(4.69%) patients suffered severe pain. In group-F, 57(89.06%) patients experienced mild pain and 7(10.94%) patients experienced moderate pain. The difference in efficacy of drugs in both the groups was not statistically significant (p=0.211).
Conclusion: There was no significant difference found between intravenous paracetamol plus ketorolac and fentanyl in terms of pain control.
Key Words: Paracetamol, Ketorolac, Fentanyl, Thyroidectomy
Citation of articles: Ahmad M, Afzal Z, Tayyeb U, Yousef M. Comparing the Analgesic Effects of IV
Paracetamol Plus Ketorolac and IV Fentanyl for Pain Control after Thyroidectomy. Med Forum
2018;29(3):69-72.