Analgesic efficacy of ketorolac 0.5% ophthalmic solution (Accular) in paediatric strabismus surgery

This prospective double‐blind study was designed to assess the analgesic efficacy of ketorolac 0.5% ophthalmic solution compared with placebo in 30 healthy children undergoing extraocular muscle recession for correction of strabismus. After paracetamol 20 mg·kg–1 preoperatively, a standard anaesthet...

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Veröffentlicht in:Pediatric anesthesia 2000-09, Vol.10 (5), p.521-526
Hauptverfasser: Bridge, Hilary S., Montgomery, Carolyne J., Kennedy, Ross A., Merrick, Pamela M.
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container_title Pediatric anesthesia
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creator Bridge, Hilary S.
Montgomery, Carolyne J.
Kennedy, Ross A.
Merrick, Pamela M.
description This prospective double‐blind study was designed to assess the analgesic efficacy of ketorolac 0.5% ophthalmic solution compared with placebo in 30 healthy children undergoing extraocular muscle recession for correction of strabismus. After paracetamol 20 mg·kg–1 preoperatively, a standard anaesthetic was given. There were no significant differences in Children’s Hospital of Eastern Ontario Pain Scale (CHEOPS) and faces pain scale (FPS) scores, requirement for supplementary analgesia or in postoperative vomiting between the two groups over the following 24 h. This study did not demonstrate improved postoperative analgesia when topical ketorolac eye drops were given in addition to paracetamol. This observed lack of efficacy may reflect difficulties in the use of CHEOPS and FPS in this age group with this pain model.
doi_str_mv 10.1046/j.1460-9592.2000.00534.x
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This observed lack of efficacy may reflect difficulties in the use of CHEOPS and FPS in this age group with this pain model.</description><subject>analgesia: ketorolac</subject><subject>Analgesics</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>incidence</subject><subject>Ketorolac - administration &amp; dosage</subject><subject>Ketorolac - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neuropharmacology</subject><subject>Ophthalmic Solutions</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - epidemiology</subject><subject>pain: postoperative</subject><subject>pain: postoperative, scores</subject><subject>Pharmacology. Drug treatments</subject><subject>Postoperative Nausea and Vomiting - epidemiology</subject><subject>scores</subject><subject>Strabismus - surgery</subject><subject>surgery: strabismus</subject><subject>vomiting: postoperative</subject><subject>vomiting: postoperative, incidence</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi0Eou3CX0A-ACqHBH_HkbisKihIq1Khoh6tiWO33jqbrZ2I3X9Pwq7aK6cZaZ53XulBCFNSUiLU53VJhSJFLWtWMkJISYjkoty9QKdPh5fTTqUspBLyBJ3lvCaEcqbYa3RCKaGsluoU2eUG4p3LwWLnfbBg97j3-MENfeojWExK-QH32_vhHmI3UbmP4xD6DT5fWjtGSJ9w2OAtuDbAkGZgSNCE3I0Z5zHdubR_g155iNm9Pc4F-v3t683F92L18_LHxXJVWMGpKJTgVitQbdUwCVxp2rrKVcJLrqVrag-t5JWwSnNnPaHEV5RRTeqGtFUNlC_Qx8PfbeofR5cH04VsXYywcf2YTcU44WKqWSB9AG3qc07Om20KHaS9ocTMgs3azB7N7NHMgs0_wWY3Rd8dO8amc-1z8Gh0At4fAcgWok-wsSE_c0IzyeoJ-3LA_oTo9v_db66XV9MyxYtDPOTB7Z7ikB6Mqnglze3Vpfm1Elpf39wazf8CTfukuA</recordid><startdate>200009</startdate><enddate>200009</enddate><creator>Bridge, Hilary S.</creator><creator>Montgomery, Carolyne J.</creator><creator>Kennedy, Ross A.</creator><creator>Merrick, Pamela M.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200009</creationdate><title>Analgesic efficacy of ketorolac 0.5% ophthalmic solution (Accular) in paediatric strabismus surgery</title><author>Bridge, Hilary S. ; Montgomery, Carolyne J. ; Kennedy, Ross A. ; Merrick, Pamela M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4314-643c86a6d7b25a3681de7e74f5385eb9fad5374c683ecf010f7121809b0d79a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>analgesia: ketorolac</topic><topic>Analgesics</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>incidence</topic><topic>Ketorolac - administration &amp; dosage</topic><topic>Ketorolac - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neuropharmacology</topic><topic>Ophthalmic Solutions</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - epidemiology</topic><topic>pain: postoperative</topic><topic>pain: postoperative, scores</topic><topic>Pharmacology. Drug treatments</topic><topic>Postoperative Nausea and Vomiting - epidemiology</topic><topic>scores</topic><topic>Strabismus - surgery</topic><topic>surgery: strabismus</topic><topic>vomiting: postoperative</topic><topic>vomiting: postoperative, incidence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bridge, Hilary S.</creatorcontrib><creatorcontrib>Montgomery, Carolyne J.</creatorcontrib><creatorcontrib>Kennedy, Ross A.</creatorcontrib><creatorcontrib>Merrick, Pamela M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bridge, Hilary S.</au><au>Montgomery, Carolyne J.</au><au>Kennedy, Ross A.</au><au>Merrick, Pamela M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analgesic efficacy of ketorolac 0.5% ophthalmic solution (Accular) in paediatric strabismus surgery</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2000-09</date><risdate>2000</risdate><volume>10</volume><issue>5</issue><spage>521</spage><epage>526</epage><pages>521-526</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>This prospective double‐blind study was designed to assess the analgesic efficacy of ketorolac 0.5% ophthalmic solution compared with placebo in 30 healthy children undergoing extraocular muscle recession for correction of strabismus. After paracetamol 20 mg·kg–1 preoperatively, a standard anaesthetic was given. There were no significant differences in Children’s Hospital of Eastern Ontario Pain Scale (CHEOPS) and faces pain scale (FPS) scores, requirement for supplementary analgesia or in postoperative vomiting between the two groups over the following 24 h. This study did not demonstrate improved postoperative analgesia when topical ketorolac eye drops were given in addition to paracetamol. This observed lack of efficacy may reflect difficulties in the use of CHEOPS and FPS in this age group with this pain model.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11012956</pmid><doi>10.1046/j.1460-9592.2000.00534.x</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects analgesia: ketorolac
Analgesics
Biological and medical sciences
Child
Child, Preschool
Double-Blind Method
Female
Humans
incidence
Ketorolac - administration & dosage
Ketorolac - therapeutic use
Male
Medical sciences
Neuropharmacology
Ophthalmic Solutions
Ophthalmologic Surgical Procedures
Pain Measurement
Pain, Postoperative - drug therapy
Pain, Postoperative - epidemiology
pain: postoperative
pain: postoperative, scores
Pharmacology. Drug treatments
Postoperative Nausea and Vomiting - epidemiology
scores
Strabismus - surgery
surgery: strabismus
vomiting: postoperative
vomiting: postoperative, incidence
title Analgesic efficacy of ketorolac 0.5% ophthalmic solution (Accular) in paediatric strabismus surgery
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