Page last updated: 2024-10-30

ketorolac and Blood Loss, Surgical

ketorolac has been researched along with Blood Loss, Surgical in 6 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Blood Loss, Surgical: Loss of blood during a surgical procedure.

Research Excerpts

ExcerptRelevanceReference
"To compare the incidence of vomiting following codeine or ketorolac for tonsillectomy in children."5.08Preoperative ketorolac increases bleeding after tonsillectomy in children. ( MacNeill, HB; Reid, CW; Rhine, EJ; Roberts, DW; Splinter, WM, 1996)
"Ketorolac, which may cause renal vasoconstriction by cyclooxygenase inhibition, is often administered to patients anesthetized with sevoflurane that is metabolized to inorganic fluoride (F(-)), another potential nephrotoxin."2.70Ketorolac is not nephrotoxic in connection with sevoflurane anesthesia in patients undergoing breast surgery. ( Eriksson, H; Koivusalo, AM; Laisalmi, M; Lindgren, L; Pere, P; Rosenberg, P, 2001)
"Ketorolac is approved for the relief of postoperative pain but concerns have been raised over a possible risk of serious adverse effects and death."2.70Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery. ( Abdalla, M; Bianchi, PG; Bonnet, F; Camu, F; Ebrahim, S; Escolar, G; Forrest, JB; Greer, IA; Heitlinger, E; Jage, J; Kehlet, H; Langman, MJ; Pocock, S; Samama, MM; Velo, G, 2002)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (50.00)18.2507
2000's2 (33.33)29.6817
2010's0 (0.00)24.3611
2020's1 (16.67)2.80

Authors

AuthorsStudies
Bongiovanni, T1
Lancaster, E1
Ledesma, Y1
Whitaker, E1
Steinman, MA1
Allen, IE1
Auerbach, A1
Wick, E1
Sutters, KA1
Levine, JD1
Dibble, S1
Savedra, M1
Miaskowski, C1
Rogers, JE1
Fleming, BG1
Macintosh, KC1
Johnston, B1
Morgan-Hughes, JO1
Splinter, WM1
Rhine, EJ1
Roberts, DW1
Reid, CW1
MacNeill, HB1
Laisalmi, M1
Eriksson, H1
Koivusalo, AM1
Pere, P1
Rosenberg, P1
Lindgren, L1
Forrest, JB1
Camu, F1
Greer, IA1
Kehlet, H1
Abdalla, M1
Bonnet, F1
Ebrahim, S1
Escolar, G1
Jage, J1
Pocock, S1
Velo, G1
Langman, MJ1
Bianchi, PG1
Samama, MM1
Heitlinger, E1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Pilot Study Evaluating Pain Outcomes of Ketorolac Administration in Children Undergoing Circumcision[NCT02973958]Phase 130 participants (Actual)Interventional2017-02-01Completed
A Randomized Control Trial Evaluating Pain Outcomes of Ketorolac Administration in Children Undergoing Circumcision[NCT04646967]Phase 2100 participants (Anticipated)Interventional2022-11-25Recruiting
Evaluation of Perioperative Usage of Ketorolac on Postoperative Pain Reduction in Pediatric Patients With Adenotonsillectom[NCT05074056]Phase 4200 participants (Anticipated)Interventional2022-02-08Recruiting
Opioid-Free Versus Transitional Anesthetic With Opioids From Tonsillectomy[NCT04528173]Phase 4550 participants (Anticipated)Interventional2020-07-22Recruiting
Acute Kidney Injury and Nonsteroidal Anti-inflammatory Drugs in Patients Undergoing High-risk Abdominal or Thoracic Surgery[NCT02553174]50 participants (Actual)Observational2016-06-01Terminated (stopped due to unable to recruit sufficient patients to satisfy study protocols)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for ketorolac and Blood Loss, Surgical

ArticleYear
Systematic Review and Meta-Analysis of the Association Between Non-Steroidal Anti-Inflammatory Drugs and Operative Bleeding in the Perioperative Period.
    Journal of the American College of Surgeons, 2021, Volume: 232, Issue:5

    Topics: Analgesia; Anti-Inflammatory Agents, Non-Steroidal; Blood Loss, Surgical; Blood Transfusion; Diclofe

2021

Trials

5 trials available for ketorolac and Blood Loss, Surgical

ArticleYear
Analgesic efficacy and safety of single-dose intramuscular ketorolac for postoperative pain management in children following tonsillectomy.
    Pain, 1995, Volume: 61, Issue:1

    Topics: Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analysis of Variance; Blood Loss, Surgical

1995
Analgesic efficacy and safety of single-dose intramuscular ketorolac for postoperative pain management in children following tonsillectomy.
    Pain, 1995, Volume: 61, Issue:1

    Topics: Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analysis of Variance; Blood Loss, Surgical

1995
Analgesic efficacy and safety of single-dose intramuscular ketorolac for postoperative pain management in children following tonsillectomy.
    Pain, 1995, Volume: 61, Issue:1

    Topics: Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analysis of Variance; Blood Loss, Surgical

1995
Analgesic efficacy and safety of single-dose intramuscular ketorolac for postoperative pain management in children following tonsillectomy.
    Pain, 1995, Volume: 61, Issue:1

    Topics: Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analysis of Variance; Blood Loss, Surgical

1995
Effect of timing of ketorolac administration on patient-controlled opioid use.
    British journal of anaesthesia, 1995, Volume: 75, Issue:1

    Topics: Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Analgesics, Opioid; Blood Loss

1995
Preoperative ketorolac increases bleeding after tonsillectomy in children.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1996, Volume: 43, Issue:6

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Analysis of Variance; Anesthesia, Inhalation; Anesthet

1996
Ketorolac is not nephrotoxic in connection with sevoflurane anesthesia in patients undergoing breast surgery.
    Anesthesia and analgesia, 2001, Volume: 92, Issue:4

    Topics: Acetylglucosaminidase; Adult; Anesthetics, Inhalation; Anti-Inflammatory Agents, Non-Steroidal; Biom

2001
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002
Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery.
    British journal of anaesthesia, 2002, Volume: 88, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antico

2002