A study on curettage pain and hemodynamic parameters of curettage patients: Ketamine or Tramadol?
Keywords:
ketamin, propofol, küretaj, ağrı, hemodinamik parametre.Abstract
Aim: The aim of this study was to compare ketamin(0.5mg/kg)-propofol(1mg/kg) and tramadol(1mg/kg)- propofol(1mg/kg) combination in patients undergoing uterine dilatation and curretage procedure in terms of total propofol requirement, pain scoring and recovery period of duration .
Methods: 100 women under going uterine dilatation and curettage were screened retrospectively after ethical comitee approval. Patients are Dr. Faruk Sükan Doğumevi, Konya, Turkey in January-July 2014 . Baseline anesthesia was maintained with 1 mg/kg propofol, and the patients were randomly allocated to receive 0.5 mg/kg ketamine (Group 1, n=50) or 1 mg/kg tramadol (Group 2, n=50) there after. Pain scores, Aldrete scores, and hemodynamic parameters were recorded during and after the surgical procedure. A record was also maintained of any adverse events.
Results: When the Aldrete scores at the end of operation, systolic pressures at basal, 0,5,10 minutes,end of op., oxygen saturation at basal,0,5,10 minutes,end of op., diastolic blood pressure at basal,0,5,10 minutes,end of op., heart rates, and visual analogue scores were compared, there was no significant difference between groups (p>0.05) Postoperative heart rate and systolic arterial pressure on beginning were significantly higher in Group 1 compared with Group 2
Conclusion: Tramadol might be a better alternative drug rather than ketamine due to better hemodynamic stability and lower respiratory depression rate were seen in patents with it.
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-Uğur B, Şen S, Oğurlu M, Odabaşı et all. On. Probe Curettage applying the comparison of remifentanyl-propofol and fentanyl-propofol combination. Turkey Clinics J Gynecol Obst 2007,17:30-36
-Morgan G E, Mikhail M S, Murray M J. Outpatient anesthesia. In, Morgan GE , Mikhail MS, Murray MJ, editors. Clinical Anesthesihology. 3th ed. California, McGraw-Hill-Appleton and Lange, 2002;p:882-8
-Castillo T, Avellanal M, Garcia de Lucas E. Bolus application of remifentanil with propofol for dilatation and curettage. Eur J Anaesthesiol 2004;21:408-411
-Moerman A T, Fourbert L A, Herregods L L, etal. Propofol versus remifentanil for monitored anesthesia care during colonoscopy. Eur J Anaesthesiol 2003;20:461-466
-Lepri A, Sia S, Catinelli S, Casali R, Novelli G. Patient-controlled analgesia with tramadol versus tramadol plus ketorolac. Minevra Anesthesia. 2006;72:59-67
-Siddiqui K M, Chohan U. Tramadol versus nalbuphine in total intravenous anesthesia for dilatation and evacuation. J Pak Med Assoc 2007;57:67-70
-Toledano R D, Kodali BS, Camann WR. Anesthesia drugs in the obstetric and gynecologic practice. Rev Obstet Gynecol 2009;2:93-100
-Kücük M, Uğur B, Oğurlu M. Comparing the administration of fentanyl 1mcg/kg and fentanyl 0.5 mcg/kg in dilatation and curettage procedures. Gynecol Endocrinol 2012;28:736-739
-Sahin L, Sahin M, Aktaş O, Kilic E, Mandollu E. Comparision of propofol/ketamine versus propofol/alfentanil for dilatation and currettage. Clin Exp Obstet Gynecol 2012;39:72-75
-Tong S, Zachariah R, Chua B G and Vollenhoven B. Hysteroscopy under general anesthesia, a near painless procedure. Australian and New Zealand Journal of Obstetrics and Gynecology 2003;43:344-345
-Tas A, Mıstanoğlu V, Darcın S, Kececıoğlu M. Tramadol versus fentayl during propofol-based deep sedation for uterine dilatation and curettage: A prospective study. Obstetrics and Gynecology Research. 2013;40:749-753
-İskender A, Erbaş M, Karagöz İ. The Comparison of Short- term sedo-analgesia in various gynecological procedures Kocaeli Medical Journal.2012;3:5-10
-Şahin A S, Gülleroğlu A, Toker M K, et all. Comparison of paracetamol and fentanyl for pain relief during and after suction termination Saudi Med J. 2016 May;37(5):527-32.
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