Comparison of Visual Analog Score in Fentanyl Drip Administration with Ketorolac Injection as Post-Operative Analgesic Therapy in Post-ORIF Patients with Closed Clavicle Fracture: A Case Report

Abstract

Introduction: Adequate post-operative pain controls a concern for patients after undergoing operative procedures, especially after undergoing orthopedic surgical procedures which are often associated with severe post-operative pain. Multimodal analgesia therapy is a superior therapeutic option in post-operative pain management. Clinical Report: In the first patient who received fentanyl drip and paracetamol, the VAS values obtained at 6 h, 12 h, 24 h, 48 h, and 72 h postoperatively were as follows: 3, 4, 4, 2, and 2. In the second patient who received ketorolac and paracetamol injection, the VAS values were obtained at evaluation 6 h, 12 h, 24 h, 48 h, and 72 h postoperatively as follows: 5, 4, 3, 3, and 2. Discussion: There were differences in the results of VAS measurements in the two patients. The difference in VAS measurement results between the two patients may be due to the administration of different postoperative analgesic agents. Conclusions: In the first patient who received fentanyl drip and paracetamol, it was found that the VAS value at the 6 hours evaluation was lower than the evaluation at 12 h and 24 h. Meanwhile, in the second patient who received ketorolac and paracetamol injections, the VAS value at the 6 h and 12 h evaluation were higher than at the 24 h postoperative evaluation. At the 48 h and 72 h evaluation, the VAS value was lower in the second patient.