Combined parecoxib and I.V. paracetamol provides additional analgesic effect with better postoperative satisfaction in patients undergoing anterior cruciate ligament reconstruction
2011

Better Pain Relief After Knee Surgery with Combined Medications

Sample size: 60 publication Evidence: high

Author Information

Author(s): Zeinab Ahmed Elseify, Salwa Omar El-Khattab, Ahmed Metwally Khattab, Eman Mohammed Atta, Layal Fares Ajjoub

Primary Institution: AL-Ahli Hospital, Doha, Qatar

Hypothesis

Does the combination of intravenous paracetamol and parecoxib provide better analgesic efficacy than either drug alone in postoperative patients?

Conclusion

The combination of intravenous paracetamol and parecoxib provided better analgesia and higher patient satisfaction than each drug when used separately.

Supporting Evidence

  • Total morphine requirements were lower in the combination group compared to the other groups.
  • Patients in the combination group reported higher satisfaction scores regarding pain management.
  • The combination of drugs resulted in lower pain scores during knee movement.

Takeaway

Using both paracetamol and parecoxib together helps people feel less pain after knee surgery and makes them happier with their pain relief.

Methodology

Sixty adult patients scheduled for ACL reconstruction were randomly assigned to receive either paracetamol, parecoxib, or a combination of both, and pain was assessed using a visual analog scale.

Limitations

The study excluded patients with certain conditions and did not assess long-term pain management outcomes.

Participant Demographics

Patients aged 18 to 45, ASA physical status I and II, with a mix of male and female participants.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4103/1658-354X.76510

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