This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
Effect of Short-Term Ketorolac Infusion on Recovery following Laparoscopic Day Surgery
This study tested the hypothesis that , by the addition of parenteral ketorolac to an oral analgesic regimen for one day following laparoscopic surgery , analgesia would be improved and thus the return of normal function hastened . Seventy-two female patients were r and omly assigned to receive ketorolac 10.5 mg subcutaneously at the end of surgery followed by a subcutaneous infusion of 1.75 mg/h for 24 to 36 hours , or an equivalent volume of saline . All patients were provided with codeine tablets ( 30 mg ) for analgesia if required . For the first four postoperative days patients recorded details of pain , side-effects and discomfort on performing everyday activities . Patients who received ketorolac received significantly less  fentanyl  in the Recovery Ward and significantly less codeine  prior to discharge than the saline group . They also took significantly fewer codeine tablets over the four-day postoperative period . Pain scores in the ketorolac group were not significantly lower than in the saline group on the first postoperative day ( P=0.052 ) and subsequently remained similar . Levels of discomfort on performing six common activities were similar in the two groups over the four-day postoperative period . We conclude that , despite beneficial effects during the period of ketorolac administration , there was no continuing benefit after this time other than reduced analgesic use , and no improvement in the patients ’ ability to perform common activities
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .