Comparison Between Lignocaine Intravenous Lignocaine Infusion and Ketorolac in Reducing Postoperative Opioid Requirement in Upper Limb Surgeries

Objective: To compare the frequency of opioid requirement, after intravenous lignocaine infusion and ketorolac tromethamine in upper limb surgeries.
 Study Design: Quasi-experimental study.
 Place Duration Study: Combined Military Hospital, Lahore Pakistan, from Oct 2017 to Apr 2018.
 Methodology: ASA I/II patients either gender undergoing surgery were included. Patients randomly divided into two equal groups, “L” (Lignocaine) “K” (Ketorolac). In L-group, given 1.5 mg/kg bolus, followed by 2.0 mg/kg/hr during entire procedure; while K-group, 0.5 (maximum 30 mg) ketorolac, at induction. The monitored for 12 hours postoperatively case severe postoperative pain (Visual Analogue Scale score >5), rescue analgesia (intravenous Nalbuphine 0.1 mg/kg) was provided.
 Results: Total eighty included study. There no statistical difference between groups with age (p-value 0.823), 0.808) status 0.184). statistically significant terms requirement 1-hour 0.035), 6-hours 0.032) 12-hours K-group showing more as compared L-group.
 Conclusion: Intraoperative administration is superior effective management surgeries.