Page last updated: 2024-10-30

ketorolac and Emesis

ketorolac has been researched along with Emesis in 23 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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.

Research Excerpts

ExcerptRelevanceReference
" This study has attempted to assess postoperative analgesic consumption and nausea and vomiting after general anaesthesia for tonsillectomy using either paracetamol premedication, paracetamol plus a NSAID or intravenous morphine to provide postoperative analgesia."9.08Postoperative morphine requirements, nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques. ( Mather, SJ; Peutrell, JM, 1995)
"Fifty-four ASA I and II children 1 to 10 yr of age undergoing strabismus surgery were randomized to receive in a double-blind fashion intravenous ketorolac (0."9.08The effects of ketorolac and fentanyl on postoperative vomiting and analgesic requirements in children undergoing strabismus surgery. ( Guarnieri, KM; Mendel, HG; Sundt, LM; Torjman, MC, 1995)
" ketorolac and morphine in paediatric outpatients undergoing strabismus surgery."9.07Comparison of the analgesic and emetic properties of ketorolac and morphine for paediatric outpatient strabismus surgery. ( Lewis, IH; Munro, HM; Reynolds, PI; Riegger, LQ; Wilton, NC, 1994)
"For children undergoing inguinal surgery, the administration of a single dose of intravenous morphine after the induction of anesthesia smooths emergence from anesthesia as assessed by improved cooperation and sedation in the PACU, decreases the need for postoperative analgesics, but increases the incidence of vomiting in the first 24 h after surgery."9.07A single dose of morphine sulfate increases the incidence of vomiting after outpatient inguinal surgery in children. ( Nicolson, SC; Schreiner, MS; Weinstein, MS, 1994)
"Cyclic vomiting is a rare syndrome that over the years has variously been ascribed to psychogenic causes, sensory seizures, abdominal migraine, and more recently, to mechanical or electrical disturbances in gastric physiology."5.29Cyclic vomiting: association with multiple homeostatic abnormalities and response to ketorolac. ( Pasricha, PJ; Ravich, WJ; Saudek, CD; Schuster, MM; Wand, G, 1996)
" Secondary measures were morphine usage in the first 8 and 24h postoperatively, numeric rating scores (NRS) up to 24h, sedation, nausea, vomiting, respiratory depression, pruritus and bleeding complications."5.24Intraoperative ketorolac dose of 15mg versus the standard 30mg on early postoperative pain after spine surgery: A randomized, blinded, non-inferiority trial. ( Davis, M; De Guzman, C; Duttchen, KM; Lo, A; McLuckie, D; Roman-Smith, H; Walker, A, 2017)
" This study has attempted to assess postoperative analgesic consumption and nausea and vomiting after general anaesthesia for tonsillectomy using either paracetamol premedication, paracetamol plus a NSAID or intravenous morphine to provide postoperative analgesia."5.08Postoperative morphine requirements, nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques. ( Mather, SJ; Peutrell, JM, 1995)
"Fifty-four ASA I and II children 1 to 10 yr of age undergoing strabismus surgery were randomized to receive in a double-blind fashion intravenous ketorolac (0."5.08The effects of ketorolac and fentanyl on postoperative vomiting and analgesic requirements in children undergoing strabismus surgery. ( Guarnieri, KM; Mendel, HG; Sundt, LM; Torjman, MC, 1995)
"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)
"This prospective, randomized double-blind study was conducted to examine the effect of intraoperative opioid (fentanyl) supplementation on postoperative analgesia, emesis, and recovery in ambulatory patients receiving propofol-nitrous oxide anesthesia."5.08Recovery after propofol with and without intraoperative fentanyl in patients undergoing ambulatory gynecologic laparoscopy. ( Aasen, M; Frey, K; Pappas, AL; Slogoff, S; Sukhani, R; Vazquez, J, 1996)
"05 mg kg(-1) +droperidol 20 microg kg(-1) was given as prophylaxis for postoperative pain and emesis, respectively."5.08Desflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy. ( Aasbø, V; Buanes, T; Grøgaard, B; Mjåland, O; Raeder, JC, 1998)
" ketorolac and morphine in paediatric outpatients undergoing strabismus surgery."5.07Comparison of the analgesic and emetic properties of ketorolac and morphine for paediatric outpatient strabismus surgery. ( Lewis, IH; Munro, HM; Reynolds, PI; Riegger, LQ; Wilton, NC, 1994)
"For children undergoing inguinal surgery, the administration of a single dose of intravenous morphine after the induction of anesthesia smooths emergence from anesthesia as assessed by improved cooperation and sedation in the PACU, decreases the need for postoperative analgesics, but increases the incidence of vomiting in the first 24 h after surgery."5.07A single dose of morphine sulfate increases the incidence of vomiting after outpatient inguinal surgery in children. ( Nicolson, SC; Schreiner, MS; Weinstein, MS, 1994)
" For management of postoperative muscle spasm, an intravenous benzodiazepine was used (diazepam 0."3.69Pain management for children following selective dorsal rhizotomy. ( Geiduschek, JM; Haberkern, CM; Hays, RM; Jacobson, LE; McLaughlin, JF; Roberts, TS, 1994)
"Postoperative pain was managed with patient-controlled analgesia using ketorolac."2.78Is pain after TKA better with periarticular injection or intrathecal morphine? ( Kanitnate, S; Manuwong, S; Panichkul, P; Tammachote, N; Yakumpor, T, 2013)
"Postoperative pain was assessed by self-report 1."2.69Analgesic efficacy and safety of preoperative versus postoperative ketorolac in paediatric tonsillectomy. ( Ostergaard, D; Rømsing, J; Valentin, N; Walther-Larsen, S, 1998)
"Postoperative pain was assessed using a visual analogue score (VAS) on 3 separate occasions in recovery."2.67Intramuscular ketorolac for postoperative analgesia following laparoscopic sterilisation. ( Duffy, BL; Shapiro, MH, 1994)
"Postoperative pain was evaluated by the child using a 10-cm linear visual analog scale (VAS) and by a blinded observer using both a VAS and an objective pain scale (OPS) in the postanesthesia care unit (PACU)."2.67Comparison of ketorolac and morphine as adjuvants during pediatric surgery. ( Jones, MB; Lagueruela, RG; Schweiger, C; Watcha, MF; White, PF, 1992)
"Ketorolac was administered to 11."1.48Pain Management for Nonsyndromic Craniosynostosis: Adequate Analgesia in a Pediatric Cohort? ( Cho, R; Dorafshar, AH; Faateh, M; Kattail, D; Lopez, J; Macmillan, A; Musavi, L; Pedreira, R, 2018)
"Cyclic vomiting is a rare syndrome that over the years has variously been ascribed to psychogenic causes, sensory seizures, abdominal migraine, and more recently, to mechanical or electrical disturbances in gastric physiology."1.29Cyclic vomiting: association with multiple homeostatic abnormalities and response to ketorolac. ( Pasricha, PJ; Ravich, WJ; Saudek, CD; Schuster, MM; Wand, G, 1996)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's19 (82.61)18.2507
2000's0 (0.00)29.6817
2010's4 (17.39)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Duttchen, KM1
Lo, A1
Walker, A1
McLuckie, D1
De Guzman, C1
Roman-Smith, H1
Davis, M1
Kattail, D1
Macmillan, A1
Musavi, L1
Pedreira, R1
Faateh, M1
Cho, R1
Lopez, J1
Dorafshar, AH1
Gasanova, I1
Grant, E1
Way, M1
Rosero, EB1
Joshi, GP1
Tammachote, N1
Kanitnate, S1
Manuwong, S1
Yakumpor, T1
Panichkul, P1
Gunter, JB1
Varughese, AM1
Harrington, JF1
Wittkugel, EP1
Patankar, SS1
Matar, MM1
Lowe, EE1
Myer, CM1
Willging, JP1
Mather, SJ1
Peutrell, JM1
Watcha, MF2
White, PF2
Mendel, HG1
Guarnieri, KM1
Sundt, LM1
Torjman, MC1
Shapiro, MH1
Duffy, BL1
Munro, HM2
Riegger, LQ2
Reynolds, PI2
Wilton, NC1
Lewis, IH1
Geiduschek, JM1
Haberkern, CM1
McLaughlin, JF1
Jacobson, LE1
Hays, RM1
Roberts, TS1
Weinstein, MS1
Nicolson, SC1
Schreiner, MS1
Monagle, J1
Wongprasartsuk, P1
Shearer, W1
Stein, A1
Ben Dov, D1
Finkel, B1
Mecz, Y1
Kitzes, R1
Lurie, A1
Splinter, WM1
Rhine, EJ1
Roberts, DW1
Reid, CW1
MacNeill, HB1
Pasricha, PJ1
Schuster, MM1
Saudek, CD1
Wand, G1
Ravich, WJ1
Sukhani, R1
Vazquez, J1
Pappas, AL1
Frey, K1
Aasen, M1
Slogoff, S1
Turner, GA1
Anson, N1
Williamson, R1
Reinhart, DJ1
Goldberg, ME1
Roth, JV1
Dua, R1
Nevo, I1
Klein, KW1
Torjman, M1
Vekeman, D1
Raeder, JC1
Mjåland, O1
Aasbø, V1
Grøgaard, B1
Buanes, T1
Rømsing, J1
Ostergaard, D1
Walther-Larsen, S1
Valentin, N1
Jones, MB1
Lagueruela, RG1
Schweiger, C1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Ultrasound-guided Transversus Abdominis Plane Block After Abdominal Hysterectomy: a Prospective Randomized Controlled Trial[NCT01153503]75 participants (Actual)Interventional2010-04-30Completed
Bilateral Transversus Abdominis Plane Block With or Without Magnesium for Total Abdominal Hysterectomy With or Without Salpingo-oophorectomy: a Randomized Controlled Trial[NCT02680626]Phase 486 participants (Actual)Interventional2016-01-31Terminated (stopped due to Pfannenstiel hysterectomies are now rarely performed so cannot recruit eligible patients)
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
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Morphine Consumption

Morphine consumption over the first 24 hours (NCT01153503)
Timeframe: 24 hours post surgery

Interventionmg (Mean)
Ketorolac 30 mg, IV + TAP Block38.4
TAP Block38.6
Ketorolac 30 mg42.6

Reviews

1 review available for ketorolac and Emesis

ArticleYear
New antiemetic drugs.
    International anesthesiology clinics, 1995,Winter, Volume: 33, Issue:1

    Topics: Ambulatory Surgical Procedures; Anesthesia, Intravenous; Anti-Inflammatory Agents, Non-Steroidal; An

1995

Trials

18 trials available for ketorolac and Emesis

ArticleYear
Intraoperative ketorolac dose of 15mg versus the standard 30mg on early postoperative pain after spine surgery: A randomized, blinded, non-inferiority trial.
    Journal of clinical anesthesia, 2017, Volume: 41

    Topics: Adult; Aged; Analgesics, Opioid; Cyclooxygenase Inhibitors; Dose-Response Relationship, Drug; Double

2017
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Is pain after TKA better with periarticular injection or intrathecal morphine?
    Clinical orthopaedics and related research, 2013, Volume: 471, Issue:6

    Topics: Aged; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Antiemetics; Antipruritics; Arthr

2013
Recovery and complications after tonsillectomy in children: a comparison of ketorolac and morphine.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:6

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recovery Period; Child, Preschool; Double-B

1995
Recovery and complications after tonsillectomy in children: a comparison of ketorolac and morphine.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:6

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recovery Period; Child, Preschool; Double-B

1995
Recovery and complications after tonsillectomy in children: a comparison of ketorolac and morphine.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:6

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recovery Period; Child, Preschool; Double-B

1995
Recovery and complications after tonsillectomy in children: a comparison of ketorolac and morphine.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:6

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recovery Period; Child, Preschool; Double-B

1995
Postoperative morphine requirements, nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques.
    Paediatric anaesthesia, 1995, Volume: 5, Issue:3

    Topics: Acetaminophen; Administration, Oral; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recove

1995
The effects of ketorolac and fentanyl on postoperative vomiting and analgesic requirements in children undergoing strabismus surgery.
    Anesthesia and analgesia, 1995, Volume: 80, Issue:6

    Topics: Acetaminophen; Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Anesthesia; Child; Child, P

1995
Intramuscular ketorolac for postoperative analgesia following laparoscopic sterilisation.
    Anaesthesia and intensive care, 1994, Volume: 22, Issue:1

    Topics: Adult; Analgesia; Analgesics; Analgesics, Opioid; Double-Blind Method; Female; Humans; Injections, I

1994
Comparison of the analgesic and emetic properties of ketorolac and morphine for paediatric outpatient strabismus surgery.
    British journal of anaesthesia, 1994, Volume: 72, Issue:6

    Topics: Ambulatory Surgical Procedures; Analgesics; Child; Child, Preschool; Double-Blind Method; Female; Hu

1994
A single dose of morphine sulfate increases the incidence of vomiting after outpatient inguinal surgery in children.
    Anesthesiology, 1994, Volume: 81, Issue:3

    Topics: Age Factors; Ambulatory Surgical Procedures; Analgesics; Child; Child, Preschool; Double-Blind Metho

1994
Ketorolac versus fentanyl for gynaecological day-case surgery.
    The Australian & New Zealand journal of obstetrics & gynaecology, 1993, Volume: 33, Issue:4

    Topics: Adult; Ambulatory Surgical Procedures; Anesthesia; Female; Fentanyl; Genital Diseases, Female; Human

1993
Single-dose intramuscular ketorolac versus diclofenac for pain management in renal colic.
    The American journal of emergency medicine, 1996, Volume: 14, Issue:4

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Colic; Diclofenac; Double-Blind Method; Female

1996
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
Recovery after propofol with and without intraoperative fentanyl in patients undergoing ambulatory gynecologic laparoscopy.
    Anesthesia and analgesia, 1996, Volume: 83, Issue:5

    Topics: Adult; Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Reco

1996
A comparison of intramuscular ketorolac with indomethacin suppositories in the treatment of pain after oral surgery.
    Anaesthesia and intensive care, 1996, Volume: 24, Issue:6

    Topics: Adult; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Female; Humans; Indomethac

1996
Transdermal fentanyl system plus im ketorolac for the treatment of postoperative pain.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1997, Volume: 44, Issue:4

    Topics: Administration, Cutaneous; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, N

1997
Desflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy.
    Acta anaesthesiologica Scandinavica, 1998, Volume: 42, Issue:1

    Topics: Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Anesthesia Recovery Period; Anesthetics, D

1998
Analgesic efficacy and safety of preoperative versus postoperative ketorolac in paediatric tonsillectomy.
    Acta anaesthesiologica Scandinavica, 1998, Volume: 42, Issue:7

    Topics: Acetaminophen; Adolescent; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Child;

1998
Comparison of ketorolac and morphine as adjuvants during pediatric surgery.
    Anesthesiology, 1992, Volume: 76, Issue:3

    Topics: Adjuvants, Anesthesia; Adolescent; Analgesics; Anesthesia, General; Child; Child, Preschool; Double-

1992

Other Studies

4 other studies available for ketorolac and Emesis

ArticleYear
Pain Management for Nonsyndromic Craniosynostosis: Adequate Analgesia in a Pediatric Cohort?
    The Journal of craniofacial surgery, 2018, Volume: 29, Issue:5

    Topics: Age Factors; Analgesia; Analgesics, Non-Narcotic; Analgesics, Opioid; Body Weight; Child, Preschool;

2018
Pain management for children following selective dorsal rhizotomy.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1994, Volume: 41, Issue:6

    Topics: Adolescent; Adult; Analgesia; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics; Bupiva

1994
Ketorolac and strabismus surgery.
    Anesthesia and analgesia, 1996, Volume: 82, Issue:4

    Topics: Analgesics, Non-Narcotic; Humans; Ketorolac; Postoperative Complications; Strabismus; Tolmetin; Vomi

1996
Cyclic vomiting: association with multiple homeostatic abnormalities and response to ketorolac.
    The American journal of gastroenterology, 1996, Volume: 91, Issue:10

    Topics: Adrenocorticotropic Hormone; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diabetes Mellitus, Type

1996