THE EFFECTS OF ADDING KETAMINE TO MORPHINE IN PATIENT-CONTROLLED INTRAVENOUS ANALGESIA AFTER ORTHOPEDIC SURGERIES

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AKHAVAN AKBARI GHODRAT; MOHAMMADIAN ERDI ALI; IMANI FARNAD

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Journal: Journal of Anesthesiology and Pain Year:2012 | Volume:3 | Issue:1 Page(s): 10-15

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Title

THE EFFECTS OF ADDING KETAMINE TO MORPHINE IN PATIENT-CONTROLLED INTRAVENOUS ANALGESIA AFTER ORTHOPEDIC SURGERIES

Author(s)

AKHAVAN AKBARI GHODRAT | MOHAMMADIAN ERDI ALI | IMANI FARNAD | Issue Writer Certificate

Keywords

ORTHOPEDIC SURGERYQ3

PCIAQ3

MORPHINEQ3

KETAMINEQ2

PAINQ2

Abstract

Aim and Background: A routine method to control post-operative PAIN is patient-controlled intravenous analgesia (PCIA) using opioids. Regarding complications of opioids, it seems necessary to reduce their dosage and to improve the quality of analgesia using adjuvants. We aimed to assess the effect of adding KETAMINE to MORPHINE in PCIA pumps for post-operative PAIN control in orthopedic patients.Methods and Materials: Sixty patients, being 20-60 years old (ASA class I-II) and undergoing ORTHOPEDIC SURGERY in lower extremity, were enrolled They had no history of opioid addiction or epilepsy. Our patients were randomly allocated to three groups 20 mg MORPHINE sulfate, 100 mg KETAMINE plus 20 mg MORPHINE and 200 mg KETAMINE plus 10 mg MORPHINE in their PCIA pump. The PAIN score was evaluated using VAS (0-10) and VRS (0-5); besides the sedation score and the degree of nausea-vomiting were assessed with Ramsay scale (0-5) and N&V score (1-4), respectively. All these measurements were performed 2, 4, 12, 24, and 48 hours postoperatively.Findings: The incidence of adverse drug reactions was not different among the three groups (p>0.05), but PAIN control was significantly better in the second and third group (ketamine plus MORPHINE) in comparison with the first one (p<0.05). There was no difference in the quality of PAIN control between the second and the third groups. Also, the need for additional opioid was significantly reduced in the two latter groups compared with the first one (p<0.05).Conclusions: Adding KETAMINE to MORPHINE in PCIA pumps would result in better PAIN control and less need for additional break-through analgesic.

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APA: Copy

AKHAVAN AKBARI, GHODRAT, MOHAMMADIAN ERDI, ALI, & IMANI, FARNAD. (2012). THE EFFECTS OF ADDING KETAMINE TO MORPHINE IN PATIENT-CONTROLLED INTRAVENOUS ANALGESIA AFTER ORTHOPEDIC SURGERIES. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 3(1), 10-15. SID. https://sid.ir/paper/216187/en

Vancouver: Copy

AKHAVAN AKBARI GHODRAT, MOHAMMADIAN ERDI ALI, IMANI FARNAD. THE EFFECTS OF ADDING KETAMINE TO MORPHINE IN PATIENT-CONTROLLED INTRAVENOUS ANALGESIA AFTER ORTHOPEDIC SURGERIES. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2012;3(1):10-15. Available from: https://sid.ir/paper/216187/en

IEEE: Copy

GHODRAT AKHAVAN AKBARI, ALI MOHAMMADIAN ERDI, and FARNAD IMANI, “THE EFFECTS OF ADDING KETAMINE TO MORPHINE IN PATIENT-CONTROLLED INTRAVENOUS ANALGESIA AFTER ORTHOPEDIC SURGERIES,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 3, no. 1, pp. 10–15, 2012, [Online]. Available: https://sid.ir/paper/216187/en

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