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Gewählte Publikation:

Trampitsch, E; Pipam, W; Moertl, M; Sadjak, A; Dorn, C; Sittl, R; Likar, R.
Preemptive randomized, double-blind study with lornoxicam in gynecological surgery
SCHMERZ. 2003; 17(1): 4-10. Doi: 10.1007/s00482-001-0129-7
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Co-Autor*innen der Med Uni Graz
Dorn Christian
Mörtl Manfred Georg
Sadjak Anton
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Abstract:
Aim. Lornoxicam is a non opioid analgesic belonging to the oxicam group. The aim of this study was to determine whether lornoxicam has a preemptive analgesic effect.Methods. This study was carried out in a randomized, double-blind fashion with 66 patients divided into three groups undergoing gynecological operations. Group I was administered 8 mg of lornoxicam i.v. preoperatively followed by an 8-mg bolus every 8 h for a total dose of 24 mg in the first 24 h. Group II was administered 8 mg of lornoxicam i.v. bolus before the end of the operation followed by 8 mg every 8 h for a total dose of 24 mg in the first 24 h. Group III was administered placebo before and after the operation and for the first 24 h. The effectivity was assessed postoperatively using the visual analogue scale (at rest, on exertion) and by calculating the total analgesic consumption of morphine hydrochloride in the first 24 h following operation. Vital signs and side effects were documented.Results. Groups I and II demonstrated significantly reduced pain scores compared to group III at various points in time. Group I also demonstrated a weakly significant reduction in analgesic consumption of morphine hydrochloride postoperatively compared to groups II and III.Conclusion. Lornoxicam administered preemptively appears to improve the quality of postoperative analgesia and lead to reduced consumption of opioid analgesics postoperatively in patients undergoing gynecological operations.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Analgesics, Opioid - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Double-Blind Method -
Drug Administration Schedule -
Female -
Genital Diseases, Female - surgery
Genital Neoplasms, Female - surgery
Humans -
Injections, Intravenous -
Middle Aged -
Morphine - therapeutic use
Pain Measurement -
Pain, Postoperative - prevention and control
Piroxicam - administration and dosage Piroxicam - analogs and derivatives Piroxicam - therapeutic use
Postoperative Period -
Preoperative Care -
Time Factors -

Find related publications in this database (Keywords)
lornoxicam
preemptive effect
multimodal analgesia
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