Ketorolac or pethidine for analgesia after elective laparoscopic sterilization

Area of Science:

• Anesthesiology
• Surgical Pain Management

Background:

• Laparoscopic sterilization is a common day surgery procedure.
• Adequate postoperative pain management remains a challenge for many patients.

Purpose of the Study:

• To compare the analgesic efficacy of intramuscular ketorolac versus intramuscular pethidine after laparoscopic sterilization.
• To evaluate the impact of ketorolac on recovery times and unplanned admissions.

Main Methods:

• A randomized, double-blind study involving sixty patients undergoing laparoscopic sterilization.
• Intramuscular ketorolac was compared with intramuscular pethidine, administered post-induction.

Main Results:

• Ketorolac provided comparable immediate postoperative analgesia but significantly better pain relief at four hours (P=0.006).
• Patients receiving ketorolac experienced significantly shorter recovery times (awakening, ambulation, discharge) (P=0.0005).
• The rate of unplanned admissions was significantly lower with ketorolac (7% vs. 33%, P=0.01).

Conclusions:

• Intramuscular ketorolac is a valuable adjunct for postoperative analgesia following laparoscopic sterilization.
• Ketorolac improves pain management, accelerates patient recovery, and reduces the need for unplanned hospital admissions.