A study on curettage pain and hemodynamic parameters of curettage patients: Ketamine or Tramadol?

Baltaoğlu, Hayriye; Darçın, Sevtap

doi:10.14687/jhs.v14i4.4091

Cited by 2 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patients who will undergo D & C do not have aches and do not remember following an operation, which is a convenient condition. Formerly, a double-blinded analysis was examined to analyze the adequacy of ketamine and tramadol in preventing discomfort in patients undergoing termination of pregnancy in daycare surgery [5]. We have experienced the effects of agents (propofol-fentanyl) and (midazolamketamine) on hemodynamic parameters, pain, and recovery scores.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Study on Pain and Hemodynamic Parameters in Minor Gynecological Procedures: Propofol – Fentanyl Vs. Ketamine – Midazolam

Najeeb¹,

Ahmed²

2022

djm

View full text Add to dashboard Cite

Background: One of the minor obstitrical procedures is dilation and curettage; pain usually occurs during it. Consequently, an anesthetic drug desires sufficient analgesia, brisk onset, and recovery. Objective: To evaluate two groups of drug combinations {midazolam 0.08mg/kg – ketamine (0.5mg/kg)} and propofol with (1mg/kg) –fentanyl dose (1mcg /kg)}, in hemodynamic parameters, pain scoring and recovery characteristics thus finding the optimal combination which can be applied all along the operation. Patients and Methods: It was taken100 patients weregoing through dilatation & curettage of approximately 15-30 min. Duration was enrolled after ethical committee approval in Erbil in 2022, and it was divided into two groups of 50 each. Baseline anesthesia was maintained, and the patients were haphazardly selected to get propofol 1mg/kg with 1 mcg/kg fentanyl (First group), midazolam 0.08mg/kg with 0.5 mg/kg ketamine (Second group) as a bolus to induce anesthesia and for maintenance. Then. pain scores, Aldrete scores, and hemodynamic signs were assessed during and after the procedure. Finally, the results were arranged and inspected statistically with the Student's unpaired t-test and chi-square test. Results: BP (systolic, diastolic) and PR were significantly higher in Group 2 compared with Group 1. No significant difference was found in the two groups regarding the parameters: the sedative level at 3-5 minutes (p = 0.499) and the duration of the operation (p = 0.105). Conclusion: group (propofol -fentanyl) was superior to group (midazolam–ketamine) and may be a good option in uterine dilation, and curettage (propofol –fentanyl) provides sufficient analgesia for the minor surgical intervention with accurate recovery characteristics like awakening time and response to verbal commands.

show abstract

Section: Discussionmentioning

confidence: 99%

“…And it became apparent that there was an unacceptably high incidence of delirium and unpleasant dreams during the recovery period. This can be distressing for both patients and attendants [5].…”

Section: Introductionmentioning

confidence: 99%

A Study on Pain and Hemodynamic Parameters in Minor Gynecological Procedures: Propofol – Fentanyl Vs. Ketamine – Midazolam

Najeeb¹,

Ahmed²

2022

djm

View full text Add to dashboard Cite

show abstract

Remifentanil y propofol con infusión controlada por objetivo para legrado uterino

Andrade¹,

Ortiz²

2020

Gac Med Bol

View full text Add to dashboard Cite

Objetivo: analizar el comportamiento hemodinámico frente al manejo anestésico con remifentanilo y propofol con infusión controlada por objetivo en pacientes sometidas a legrado uterino por aborto incompleto. Métodos: se realizó un ensayo clínico no controlado utilizando un protocolo de atención aprobado por el servicio de anestesiología obstétrica del Hospital Obrero Nº2, entre enero a mayo de 2019, ingresando 39 pacientes sometidas a legrado uterino instrumental; usando el modelo Minto para remifentanil y el modelo Schnider para Propofol para la infusión controlada. La valoración de las diferencias estadísticas en los parámetros hemodinámicos se realizó mediante comparación de medias por T de student. Resultados: la edad media de las participantes del fue 34,77±7,9 años, tiempo quirúrgico de 12 ± 2,9 minutos. El tiempo anestésico de 15 ± 3 minutos; el tiempo del alta de la recuperación anestésica a salas de 14 ±3,3 minutos. La dosis de inducción del remifentanilo utilizada fue de 4,8 ± 0,3 ng/ml (p >0,001) y la dosis de inducción del propofol fue de 3,77± 0,4 mcg/ml (p >0,001). Las dosis de mantenimiento del remifentanilo de 4,56 ± 0,5 ng/ml y la dosis del propofol es de 3,8 ± 0,6 mcg/ml (p >0,001). No se encontró complicaciones ni hallazgos secundarios por el uso de los medicamentos. Conclusiones: el uso del sistema de infusión controlado por objetivo (TCI) para remifentanilo en el modelo de Minto y modelo de Schinder para el propofol proporciona a las pacientes buena estabilidad hemodinámica.

show abstract

A study on curettage pain and hemodynamic parameters of curettage patients: Ketamine or Tramadol?

Cited by 2 publications

References 4 publications

A Study on Pain and Hemodynamic Parameters in Minor Gynecological Procedures: Propofol – Fentanyl Vs. Ketamine – Midazolam

A Study on Pain and Hemodynamic Parameters in Minor Gynecological Procedures: Propofol – Fentanyl Vs. Ketamine – Midazolam

Remifentanil y propofol con infusión controlada por objetivo para legrado uterino

Contact Info

Product

Resources

About