Evaluation of a Single Dose Intravenous Paracetamol for Pain Relief After Maxillofacial Surgery: A Randomized Clinical Trial Study

被引:1
作者
Eftekharian H. [1 ,2 ]
Tabrizi R. [1 ,2 ,3 ]
Kazemi H. [1 ,2 ]
Nili M. [2 ]
机构
[1] Department of Maxillofacial Surgery, Shiraz University of Medical Science, Shiraz
[2] Shiraz University of Medical Science, Shiraz
[3] Chamran Hospital, CMF Ward, Chamran Avenue, Shiraz, Fars
关键词
Maxillofacial surgery; Pain; Paracetamol; VAS;
D O I
10.1007/s12663-013-0557-9
中图分类号
学科分类号
摘要
Objective: The aim of this study was to evaluate, using a single dose of intravenous paracetamol, pain relief after maxillofacial surgery. Materials and Methods: This is a controlled, randomized, uni- blind, clinical trial study to evaluate using a single dose of IV paracetamol for pain relief after maxillofacial surgery. The subjects were randomly divided into two groups with 40 subjects in each: group I received paracetamol (Apotel)* as a single dose and group II received placebo. Subjects were randomly allocated according to randomization lists. Paracetamol was used as a single dose (20 mg/kg in 100 cc of normal saline which was infused for 10 min after surgery in recovery room just before discharging). We used a visual analogue scale to investigate pain relief at various times. Results: Analysis of the data, did not show any significant difference for age, sex and weight between the treatment group and the control group. Pain decreased 6 h after paracetamol infusion; then it increased mildly. In the control group, pain severity increased after operation, then it decreased mildly. Results showed a correlation between duration of surgery and pain severity in both the groups. Conclusion: Paracetamol is effective on pain relief after maxillofacial surgeries. Operation time may be an important factor for induction of pain after the surgeries. © 2013, Association of Oral and Maxillofacial Surgeons of India.
引用
收藏
页码:478 / 482
页数:4
相关论文
共 22 条
  • [1] Moller P.L., Juhl G.I., Payen-Champenois C., Skoglund L.A., Intravenous acetaminophen (paracetamol): comparable analgesic efficacy, but better local safety than its prodrug, propacetamol, for postoperative pain after third molar surgery, Anesth Analg, 101, 1, pp. 90-96, (2005)
  • [2] Warfield C.A., Kahn C.H., Acute pain management: programs in US hospitals and experiences and attitudes among US adults, Anesthesiology, 83, pp. 1090-1094, (1995)
  • [3] Huang N., Cunningham F., Laurito C.E., Chen C., Can we do better with postoperative pain management?, Am J Surg, 182, pp. 440-448, (2001)
  • [4] Sinatra R.S., Jahr J.S., Reynolds L.W., Viscusi E.R., Groudine S.B., Payen-Champenois C., Efficacy and safety of single and repeated administration of 1 gram intravenous acetaminophen injection (paracetamol) for pain management after major orthopedic surgery, Anesthesiology, 102, 4, pp. 822-831, (2005)
  • [5] Walder B., Schafer M., Henzi I., Tramer M.R., Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain. A quantitative systematic review, Acta Anaesthesiol Scand, 45, pp. 795-804, (2001)
  • [6] Charlton J.E., Treatment of postoperative pain, Pain 2002—an updated review: refresher course syllabus, pp. 351-355, (2002)
  • [7] Hyllested M., Jones S., Pedersen J.L., Kehlet H., Comparative effect of paracetamol, NSAIDs or their combination in postoperative pain management: a qualitative review, Br J Anaesth, 88, pp. 199-214, (2002)
  • [8] Perrott D.A., Piira T., Goodenough B., Champion G.D., Efficacy and safety of acetaminophen versus ibuprofen for treating children’s pain or fever: a meta-analysis, Arch Pediatr Adolesc Med, 158, pp. 521-526, (2004)
  • [9] McNicol E.D., Tzortzopoulou A., Cepeda M.S., Francia M.B., Farhat T., Schumann R., Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: a systematic review and meta-analysis, Br J Anaesth, 106, 6, pp. 764-775, (2011)
  • [10] Tzortzopoulou A., McNicol E.D., Cepeda M.S., Francia M.B., Farhat T., Schumann R., Single dose intravenous propacetamol or intravenous paracetamol for postoperative pain, Cochrane Database Syst Rev, 10, (2011)