Comparative study of the efficacy of Ketorolac 15mg and 30mg in postoperative pain after cesarean section under spinal anesthesia : A randomized controlled trial

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pattaraleeya thomard

Abstract

Objectives: To compare the efficacy of parenteral ketorolac 15mg and 30mg in postoperative pain management at 6 hours and within 24 hours after cesarean section under spinal anesthesia


Methods: This randomized controlled trial included 130 patients undergoing cesarean section under spinal anesthesia. Patients were divided into two groups: group A (n=65) received parenteral ketorolac 15mg and group B (n=65) received ketorolac 30mg. Pain scores were assessed using the Visual Analog Scale (VAS) at 6, 12, 18, and 24 hours postoperatively. If pain score more than 5, patient will received Tramadol or opioids injection. Patients demographics data, newborn , and side effects were also recorded. Statistical analytic with significant level at p< 0.05


Results: There were no significant differences in demographic characteristics, surgical characteristics, and pain scores between the two groups. Additionally, there were no significant differences in the mean pain scores within the first 24 hours postoperatively. No tramadol or opioids required in both groups.


Conclusions: Ketorolac 15mg can be use for postoperative cesarean section pain management.

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1.
thomard pattaraleeya. Comparative study of the efficacy of Ketorolac 15mg and 30mg in postoperative pain after cesarean section under spinal anesthesia : A randomized controlled trial. Kb. Med. J. [internet]. 2025 Jul. 18 [cited 2026 Jan. 12];8(1):15-27. available from: https://he01.tci-thaijo.org/index.php/KBJ/article/view/278160
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