Abstract

COMPARISON OF POSTOPERATIVE NAUSEA AND VOMITING AFTER INTRAVASCULAR PATIENT-CONTROL ANALGESIA (PCA) WITH (PARACETAMOL+MORPHINE) AND (PARACETAMOL+ TRAMADOL) IN ORTHOPEDIC SURGERY

Kaveh Behaeen*, Naser Sarrafan, Sholeh Nesioonpour, Mansoor Soltanzadeh,Tahmineh Ghalami

Abstract

Introduction: Postoperative nausea and vomiting is common complications after orthopedic surgery. We compared incidence of nausea and vomiting after hip and femoral surgery. Methods: In a double blind clinical trial study 36 patients in three equal groups randomly, take three methods for controlling post-operative pain. Group C (n=12) control group received intramuscular NSAID (diclofenac 100mg) as routine plan for pain control in orthopedic ward. Group M and T received intravascular analgesic with PCA device in two different combination. Group M (paracetamol 2g+morphine 10mg), group T (paracetamol 2g+ tramadol 100mg) Results: Demographics and statistical data showed post-operative nausea and vomiting (PONV) in three groups was 2 in group C and 1in group M and 4 in group T (P value< 0.05). Conclusion: Incidence of nausea and vomiting with (paracetamol 2g+morphine 10mg) in group M was significant lower than two other groups.

Keywords: morphine - PCA – tramadol – Nausea - pracetamol – Vomiting.