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Scholars Journal of Applied Medical Sciences | Volume-2 | Issue-03
Comparison Intravenous Patient-Controlled Analgesia (PCA) with (Paracetamol + Morphine) and (Paracetamol + Tramadol) for Postoperative Pain Management in Orthopedic Surgeries
Kaveh Behaeen, Naser Sarrafan, Sholeh Nesioonpour, Tahmineh Ghalami, Mansoor Soltanzadeh
Published: May 26, 2014 | 120 53
DOI: 10.36347/sjams.2014.v02i03.011
Pages: 939-941
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Abstract
The purpose of this study is evaluation effectiveness of Intravenous patient-controlled analgesia (PCA) with paracetamol and opioids drugs for postoperative pain management in orthopedic surgeries. Thirty patients were randomized in three equal groups: group A (Control group) received intramuscular NSAID drugs, group B received patient controlled analgesia with (paracetamol 2gr + Morphine sulfate 10 mg) and group C received patient controlled analgesia with (paracetamol 2gr + Tramadol 100 mg) for postoperative pain management. The mean pain perception according to visual analogue scale (VAS) was 6.1 in the control group (A), 5.1 in the group (B) and 5.3 in the group (C). There was significant difference between group A with groups B and C (Pvalue< 0.05) for pain perception. The mean early hip joint movement time after operation were 30±6.2 hours in the control group A, 24±3.50 hours in the group (B) and 24±3.00 hours in the group (C). Patient controlled analgesia (PCA) device with (paracetamol + tramadol) and (Paracetamol + morphine) can be useful for pain management and early hip joint movement after orthopedic surgeries.