3. Comparison of Tramadol and Ketorolacin Postoperative Pain After Maxillofacial Surgery
Kashif Ali Channar1, Abdul Bari Memon2, Irfan Ahmed Shaikh1, Nadir Kalhoro1, Ajeet Kumar3 and Bashir Ahmed Jalbani2
ABSTRACT
Objective: To compare Tramadol and Ketorolac in the management of postoperative pain following maxillofacial surgery.
Study Design: Comparative cross sectional study
Place and Duration of Study: This study was conducted at the Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro form November 2017 to July 2018.
Materials and Methods: Total hundred patients were recruited. Patients were divided in 2equal groups by random allocation. Group 1 received ketorolac 30 mg (Trometh 30mg) intramuscular I.M. after the surgical procedure and group 2receivedtramal 100mg (Tramadol 100mg) intramuscular. Pain was evaluated using visual analog scale (VAS) during 2nd, 4th, 6th, 12th and 24th hours from the end of surgical procedure and recorded on Performa.
Results: Total 100 patients were included in this study. After receiving tramadol injection, 6% patients felt no pain after 2 hours while only 2% patients felt severe pain after 12 hours. While after receiving ketorolac injection, 2% patients felt no pain after 2 hours while in 4% patients felt severe pain after 12 hours. Mean score of pain after 24 hours was 1.09 ± 0.30 in Tramadol group while in ketorolac group is 3.70 ±0.45 Results were statistically significant P value 0.01.
Conclusion: Tramadol is a better pain killer and anti-inflammatory drug having longer duration of action to control post- operative pain and swelling after maxilla-facial surgery and is more effective than ketorolac.
Key Words: Ketorolac, Maxillofacial surgery, Pain, Tramadol
Citation of article: Channar KA, Memon AB, Shaikh IA, Kalhoro N, Kumar A, Jalbani BA. Comparison of Tramadol and Ketorolacin Postoperative Pain After Maxillofacial Surgery. Med Forum 2021;32(3):11-14.