Indomethacin as an analgesic after hysterectomy.
The influence of indomethacin on the need for postoperative analgesics was investigated in a double-blind study of 41 patients scheduled for abdominal hysterectomy. The incidence of side effects was evaluated. The patients were randomly allocated to treatment with either indomethacin, 0.8 mg/kg i.v. preoperatively, followed by 100 mg rectally 8-hourly for 3 days (Group I), or placebo (Group P), in both cases supplemented with nicomorphine as needed. Thiopentone was used for induction of anaesthesia, followed by nitrous oxide, enflurane, suxamethonium, and pancuronium. The average nicomorphine requirement during the study was 14.0 mg/24 h lower in Group I than in Group P. The pain score values were slightly lower in Group I when resting, but similar on movement. A significant increase in perioperative blood loss was found in Group I. Beginning the indomethacin treatment with a preoperative i.v. bolus seems to offer few advantages compared to a purely postoperative regime and may increase the risk of bleeding complications.
Engel
C
C
Department of Anaesthesia, Kolding Hospital, Denmark.
Lund
B
B
Kristensen
S S
SS
Axel
C
C
Nielsen
J B
JB
D000285:Administration, Rectal; D000293:Adolescent; D000328:Adult; D004311:Double-Blind Method; D005260:Female; D006470:Hemorrhage / Q000503:physiopathology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007213:Indomethacin / Q000008:administration & dosage / Q000627:therapeutic use*; D007275:Injections, Intravenous; D008875:Middle Aged; D009022:Morphine Derivatives / Q000627:therapeutic use; D009539:Nicotinic Acids / Q000627:therapeutic use; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D010919:Placebos; D011292:Premedication; D011897:Random Allocation
D009022:Morphine Derivatives; D009539:Nicotinic Acids; D010919:Placebos; D007213:Indomethacin; C008549:nicomorphine