Comparison of intramuscular morphine and methadone on postoperative analgesia in patients with tibial fracture

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HASANI VALIOLLAH; Farahmand Raad Reza; AAli Anvari Hadi

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2018 | Volume:40 | Issue:2 (102) Page(s): 63-72

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Information Journal Paper

Title

Comparison of intramuscular morphine and methadone on postoperative analgesia in patients with tibial fracture

Author(s)

HASANI VALIOLLAH | Farahmand Raad Reza | AAli Anvari Hadi | Issue Writer Certificate

Keywords

MorphineQ3

methadoneQ2

postoperative analgesiaQ2

Abstract

Background: Post-operative pain is cause of suffering in most patients and can cause a lot of problems. Analgesic effects of many narcotics have been widely studied. In this study, the effects of intramuscular Morphine and methadone on postoperative analgesia in patients with tibial fracture were assessed. Materials and methods: This case-control study was conducted on 60 patients who fractured tibia in Zahedan in1392. Sampling was performed using a randomized block design in two groups of patients were receiving intravenous intramuscular methadone and Morphine. In both groups were evaluated different levels of pain and analgesic requirement. Data were analyzed by chi-square and T-test. Results: Mean age of patients was 32. 9± 2. 2 years. 39 patients (65%) were male and 21 patients (35%) were female. (P>0. 05) the mean use of diclofenac suppository in groups receiving methadone was 1. 9± 0. 9 and in the group with receiving Morphine was 2. 7± 1. 2. (P=0. 011) the level of pain in the methadone group was lower than the Morphine group at all times. (P<0. 05) the mean use of scuere in the methadone group was 2. 1± 0. 89 and in the Morphine group was 2. 6± 0. 88. (P=0. 024) Conclusions: The study showed that administration of methadone as premedication for tibial fractures patients reduces the postoperative pain more than Morphine. Therefore, premedication with methadone for opium addict patients undergoing orthopedic surgery is recommended.

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References

COMPARISON OF THE EFFECTS OF METHADONE AND MORPHINE ON POSTOPERATIVE PAIN SCALE FOLLOWING THORACIC SURGERY IN OPIUM ADDICT PATIENTS

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APA: Copy

HASANI, VALIOLLAH, Farahmand Raad, Reza, & AAli Anvari, Hadi. (2018). Comparison of intramuscular morphine and methadone on postoperative analgesia in patients with tibial fracture. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 40(2 (102) ), 63-72. SID. https://sid.ir/paper/63212/en

Vancouver: Copy

HASANI VALIOLLAH, Farahmand Raad Reza, AAli Anvari Hadi. Comparison of intramuscular morphine and methadone on postoperative analgesia in patients with tibial fracture. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2018;40(2 (102) ):63-72. Available from: https://sid.ir/paper/63212/en

IEEE: Copy

VALIOLLAH HASANI, Reza Farahmand Raad, and Hadi AAli Anvari, “Comparison of intramuscular morphine and methadone on postoperative analgesia in patients with tibial fracture,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 40, no. 2 (102) , pp. 63–72, 2018, [Online]. Available: https://sid.ir/paper/63212/en

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