Effect of Intraperitoneal Ketamine as Postoperative Analgesia in Laparoscopic Cholecystectomy

Ahmed M. Shawky; Ali A. A. A. Essa; Ahmed A. E. A. Emam

Article Details

Effect of Intraperitoneal Ketamine as Postoperative Analgesia in Laparoscopic Cholecystectomy

Authors:

Ahmed M. Shawky | Ali A. A. A. Essa | Ahmed A. E. A. Emam

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 3, pp.4224-4229

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

127825

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: Laparoscopic surgery is gaining popularity so different modalities of pain management should be used as patients experience postoperative pain of different sources especially from the abdomen, back and shoulder region which is severe especially in first postoperative hours.Objective: We aimed to evaluate effect of intraperitoneal instillation of ketamine and normal saline on post-operative pain and analgesic requirements after laparoscopic cholecystectomy.Patients and Methods: Forty patients undergoing laparoscopic cholecystectomy were randomly allocated and divided into two groups, The ketamine intraperitoneal (KIP) group (n=20 patients), in which 0.5 mg/kg ketamine diluted in 30 ml normal saline was instilled intraperitoneally,The saline intraperitoneal (SIP) group (n=20 patients), in which 30 ml of normal saline was instilled intraperitoneally. Patients receive these drugs as follow, 16 ml in gall bladder fossa while other 14 ml under copula of diaphragm on both sides while patients were placed in 15-20-degree trendelenburg position. This was done before patients recovered from anesthesia, then patients extubated and transferred to ward. Patients were evaluated according to VAS, time to first analgesic and total analgesic requirements during 24 hours post-operative.Results: Our results showed that usage of ketamine decreases postoperative pain and analgesic consumption in the first 24 hours after surgery along with longer pain free period compared to patients who were given bupivacaine after laparoscopic cholecystectomy. In our study ketamine 0.5mg/kg was safely used as we did not observe any sign of toxicity.Conclusion: Intraperitoneal instillation of local anesthetic is an easy, cheap and safe method which provides good analgesia in the immediate postoperative period after laparoscopic surgery. Ketamine is highly effective in postoperative pain control in laparoscopic cholecystectomy without any hazards on patients.

Article Details

Effect of Intraperitoneal Ketamine as Postoperative Analgesia in Laparoscopic Cholecystectomy

Authors:

Ahmed M. Shawky | Ali A. A. A. Essa | Ahmed A. E. A. Emam

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 3, pp.4224-4229

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

127825

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

KETAMINE

ANAESTHETICS

ANALGESIA

PAIN CONTROL

LAPAROSCOPY

CHOLECYSTECTOMY

SURGICAL OPERATIONS

EGYPT

Adverse Drug Reactions

Visual Analogue Scale

N-Methyl-D-Aspartate

Anesthesiologist

Issues

Article Details

Authors: Ahmed M. Shawky | Ali A. A. A. Essa | Ahmed A. E. A. Emam

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 3, pp.4224-4229

Document Type: Article

Publication Date: 7/2018

Document Language: English

Document ID (Org No.): 127825

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Ahmed M. Shawky | Ali A. A. A. Essa | Ahmed A. E. A. Emam

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 3, pp.4224-4229

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

127825

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002