title: Evaluation of the Analgesic Efficacy of Dexketoprofen Added to Paracetamol.
abstract: OBJECTIVE
  Multimodal analgesic methods are preferred for the treatment of postoperative pain; as a result, the additive effects of analgesics are provided while probable side effects are avoided. The current study aimed to compare the effects of the combination of dexketoprofen and paracetamol with regard to postoperative pain therapy.
  
  
  METHODS
  Ninety-six patients who underwent non-malignant gynaecological laparotomy operations were included in this study. Patients were randomized into 3 groups. Group D received 50 mg intravenous dexketoprofen 15 minutes before the end of the operation and 8 and 16 hours after the operation. Group P received 1 g intravenous paracetamol and Group DP received the combination of 500 mg paracetamol and 25 mg dexketoprofen at the same time intervals. All patients received morphine infusion after operation. Total morphine consumption at 24 hours, visual analog scale, patient satisfaction and side effects were investigated.
  
  
  RESULTS
  Comparison of the visual analog scale scores revealed that the Group DP presented lower scores at 24th hours compared to the other groups; and the difference between Group DP and Group D was statistically significant. Total morphine consumption was not significantly different between the three groups. The minimum number of side effects was observed in the Group DP.
  
  
  CONCLUSIONS
  Co-administration of paracetamol, dexketoprofen and morphine provided good analgesia and fewer side effects in gynaecological abdominal surgery.
authors.affiliation: Department of Anaesthesiology and Reanimation, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Ceyhan
authors.affiliation: Department of Anaesthesiology and Reanimation, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey.
authors.forename: Ayten
authors.initials: A
authors.lastname: Bilir
authors.affiliation: Department of Anaesthesiology and Reanimation, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey.
authors.forename: Mehmet Sacit
authors.initials: MS
authors.lastname: Güleç
keywords: Postoperative pain; dexketoprofen; multimodal analgesia; paracetamol