Efficacy of ketorolac in lieu of narcotics in operative management of laparoscopic surgery for morbid obesity

Govindarajan, Ramasamy; Aronsohn, Judith; Rajpal, Sanjeev; Sathyamoorthy, Madhankumar; Kodali, Nagendra S; Ghosh, Bikash Chandra; Raza, Ahamed; Ar, Amos

doi:10.1016/j.soard.2005.03.010

Cited by 16 publications

(20 citation statements)

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“…In addition to the technical factors, the perioperative administration of certain drugs such as heparin products or ketorolac tromethamine (Toradol\, Roche Laboratories, Switzerland) may potentially influence the occurrence of this complication. In fact, although ketorolac has been found to be beneficial in the management of perioperative analgesia after gastric bypass surgery [5][6][7][8], some concerns have been raised in the surgical literature regarding its potential to increase the incidence of postoperative bleeding [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Early Postoperative Hemorrhage After Open and Laparoscopic Roux-En-Y Gastric Bypass

et al. 2008

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Section: Introductionmentioning

confidence: 99%

Early Postoperative Hemorrhage After Open and Laparoscopic Roux-En-Y Gastric Bypass

et al. 2008

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“…[32] Most popular multimodal therapies involve local anesthetic infiltration at insertion site and potent non-steroidal anti-inflammatory drugs like ketorolac. [33][34][35] Paracetamol, which has also been found to diminish postoperative nausea, can also be used in combination. [36] Alpha 2 agonists like clonidine and dexmedetomidine have also been used to diminish opioid use, as well as antiemetics, and shorten PACU stay.…”

Section: Intraoperative Management Of the Morbidly Obese Patientmentioning

confidence: 99%

Anesthesia for the surgical procedures of the morbidly obese

Pamuk¹

2017

Laparosc Endosc Surg Sci

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Surgery for the morbidly obese is no longer a novelty. Understanding the basic mechanisms of the pathophysiology of morbid obesity and taking simple precautions while preparing these patients for surgery will help reduce complications. This review outlined preoperative, perioperative, and postoperative management of the morbidly obese patient in line with the current knowledge. Airway management, drug choices, changes in respiratory, circulatory, urinary, and metabolic systems were discussed. Some early and long-term changes in the morbidly obese, like gastroesophageal reflux and vitamin deficiencies were also summarized to aid in subsequent operations and management.

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“…A non placebo-controlled study comparing Ketorolac and Remifentanyl infusion during surgery found lower requirements of PCA, nausea/vomiting, duration of stay in PACU and improved pain scores [19].…”

Section: Nsaidsmentioning

confidence: 99%

Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach

Gamboa¹

2016

AOWMC

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Weight loss surgery (WLS) is an effective group of procedures with a low rate of complications, preventing or treating several cardiovascular co morbidities associated with morbid obesity. Pain management in the preoperative needs special consideration in this population because of different aspects, specially the theoretical need for opioid avoidance, generally used in the postoperative of major surgeries. This literature review assesses the available information on analgesic strategies for WLS, with a special approach on multimodal settings and possible alternatives. Well-controlled studies are needed to determine the level of recommendation for individual therapies and multimodal regimens.

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Efficacy of ketorolac in lieu of narcotics in operative management of laparoscopic surgery for morbid obesity

Cited by 16 publications

References 0 publications

Early Postoperative Hemorrhage After Open and Laparoscopic Roux-En-Y Gastric Bypass

Early Postoperative Hemorrhage After Open and Laparoscopic Roux-En-Y Gastric Bypass

Anesthesia for the surgical procedures of the morbidly obese

Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach

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