Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s4.1
Suggestive Preparation of Patients using Intravenous Ketoprofen as a Part of Postoperative Pain Management in Elective Abdominal Surgery
Anja Petričević
; Department of Anesthesiology, Resuscitation and Intensive Care, Osijek University Hospital, Osijek, J. Huttlera 4, Osijek, Croatia
Dino Budrovac
; Department of Anesthesiology, Resuscitation and Intensive Care, Osijek University Hospital, Osijek, Croatia; Medical faculty, Josip Juraj Strossmayer University, Osijek, Croatia
Ivana Lenz
; Department of Pediatrics, Osijek University Hospital, Osijek, Croatia
Slavica Kvolik
; Department of Anesthesiology, Resuscitation and Intensive Care, Osijek University Hospital, Osijek, Croatia; Medical faculty, Josip Juraj Strossmayer University, Osijek, Croatia
Sažetak
Suggestive preparation before surgery may have a placebo effect and can reduce
perioperative consumption of analgesics. A total of 77 adult patients undergoing elective cholecystectomy
and hernioplasty were included in this prospective study. All patients were given 100 mg of ketoprofen
intravenously and were assigned to two groups. The first group was not informed about analgesia (no
preparation, NP group), and the second group were told that they will receive a strong painkiller (suggestive
preparation, SP group). Pulse rate, blood pressure and VAS scores were registered in all patients
immediately before anesthesia induction in the operating room (T1), after waking up in the recovery
room (T2), 6 hours after surgery at the surgical ward (T3) and on the morning after surgery in the surgical
ward (T4), at rest and during movement. Rescue nonsteroidals were offered to patients with VAS 3-4, and
opioids for VAS ≥5. The patients in the SP group had lower VAS scores in all measurements and lower
opioid consumption. A statistically significant difference was observed in VAS2 measurement during
movement (3 [2-5] vs. 2 [0-3.75] in the NP and SP group, P=0.008). SP had a placebo effect and reduced
VAS scores as well as opioid consumption.
Ključne riječi
placebo effect; suggestion; ketoprofen; acute postoperative pain; visual analog scale
Hrčak ID:
315654
URI
Datum izdavanja:
1.11.2023.
Posjeta: 80 *