Nefopam versus Ketorolac for Post-operative Pain Control after Cesarean Section: A Prospective Randomized Clinical Study

Document Type : Original Article

Authors

1 Assistant Professor of obstetrics and gynecology Faculty of Medicine - Benha University

2 Professor of obstetrics and gynecology Faculty of Medicine - Benha University

3 Benha Teaching Hospital

4 Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Benha University

Abstract

Background: Cesarean delivery is the most common inpatient surgical procedure performed worldwide; improving the peri- operative care of parturients has significant global implications. This study aimed to compare Ketorolac versus Nefopam when administered intravenously with Tramadol during induction of anesthesia as post-operative analgesia over a 24 hours period following surgery in patients who undergo cesarean section. Methods: This prospective randomized controlled study was conducted on 100 female patients with American Society of Anesthesiologists (ASA) classification II. Patients were randomly allocated into two equal groups: Group N: Received slow intravenous administration of Nefopam. Group K: Received slow intravenous administration of Ketorolac. Results: The time of the 1st rescue analgesic requirement was significantly delayed in group N compared to Group K (P

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