Page last updated: 2024-11-05

tolmetin and Anesthesia

tolmetin has been researched along with Anesthesia in 9 studies

Tolmetin: A non-steroidal anti-inflammatory agent (ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL) similar in mode of action to INDOMETHACIN.
tolmetin : A monocarboxylic acid that is (1-methylpyrrol-2-yl)acetic acid substituted at position 5 on the pyrrole ring by a 4-methylbenzoyl group. Used in the form of its sodium salt dihydrate as a nonselective nonsteroidal anti-inflammatory drug.

Anesthesia: A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.

Research Excerpts

ExcerptRelevanceReference
"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)
"The efficacy of intraoperatively administered ketorolac for the prophylactic treatment of pain in the postanesthesia care unit (PACU) was examined in a prospective, double-blinded study."9.07Effect of intraoperative ketorolac on postanesthesia care unit comfort. ( Behrman, KH; Disbrow, EA; Hanowell, LH; Loeb, RG; Valdrighi, JB, 1994)
"Two cases of bradycardia following the intra-operative use of ketorolac given intravenously (i."7.69Bradycardia following intravenous ketorolac in children. ( Foster, PN; Williams, JG, 1997)
"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)
"The efficacy of intraoperatively administered ketorolac for the prophylactic treatment of pain in the postanesthesia care unit (PACU) was examined in a prospective, double-blinded study."5.07Effect of intraoperative ketorolac on postanesthesia care unit comfort. ( Behrman, KH; Disbrow, EA; Hanowell, LH; Loeb, RG; Valdrighi, JB, 1994)
"Two cases of bradycardia following the intra-operative use of ketorolac given intravenously (i."3.69Bradycardia following intravenous ketorolac in children. ( Foster, PN; Williams, JG, 1997)
"Ketorolac tromethamine (0."1.28The pharmacokinetics of postoperative intravenous ketorolac tromethamine in children. ( Maunuksela, EL; Olkkola, KT, 1991)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19901 (11.11)18.7374
1990's8 (88.89)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Moore, GK1
Noordewier, B1
Hook, JB1
Yorgey, KA1
O'Neill, PJ1
Blackburn, A1
Stevens, JD1
Wheatley, RG1
Madej, TH1
Hunter, D1
Mendel, HG1
Guarnieri, KM1
Sundt, LM1
Torjman, MC1
Valdrighi, JB1
Hanowell, LH1
Loeb, RG1
Behrman, KH1
Disbrow, EA1
Monagle, J1
Wongprasartsuk, P1
Shearer, W1
Foster, PN1
Williams, JG1
Hall, SR1
Milne, B1
Loomis, C1
Olkkola, KT1
Maunuksela, EL1
Smith, PC1
McDonagh, AF1
Benet, LZ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prospective Evaluation of the Effects of IV Ketorolac on Platelet Function Post-Cesarean Delivery[NCT03805607]Phase 440 participants (Actual)Interventional2021-01-18Active, not recruiting
A Prospective, Randomized, Control Trial of Ketorolac Versus Placebo on Opioid Analgesic Use, Estimated Blood Loss and Complications Following Cesarean Delivery With Epidural Morphine[NCT02509312]Phase 470 participants (Actual)Interventional2016-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Anti-emetic Doses

Total doses of medications to treat pruritus (opioid side-effect) including ondansetron and promethazine. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

Interventiondoses (Median)
Ketorolac0
Placebo0

Corrected Change in Hct on POD1.

Corrected change in Hct on POD1. Performed by subtracting POD1 Hct from POD0 Hct. Correction for transfusion by further subtracting 3 per unit of pRBC transfused to account for the typical change seen per unit transfused. (NCT02509312)
Timeframe: POD1

Interventionmg/dl (Mean)
Ketorolac-5.1
Placebo-3.5

Estimated Blood Loss (EBL)

Estimation of blood loss during surgery (NCT02509312)
Timeframe: Immediately post-op

Interventionml (Median)
Ketorolac900
Placebo800

Post-Partum Hemorrhage

Rate of Post-Partum Hemorrhage between groups during the first 24 hours pst-partum. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

InterventionParticipants (Count of Participants)
Ketorolac7
Placebo4

Pruritus Doses

Total doses of medications to treat pruritus (opioid side-effect) including diphenhydramine, nalbuphine and naloxone. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

Interventiondoses (Median)
Ketorolac0
Placebo0

Total Hydromorphone Dose

Total hydromorphone doses in mg in the first 24 hours post-partum. (NCT02509312)
Timeframe: 0 - 24 hours post-partum.

Interventionmg (Median)
Ketorolac0
Placebo0.2

Units of Packed Reb Blood Cell Transfused

Total number of Units of Packed Reb Blood Cell Transfused in intra-op until 24 hours post-partum. (NCT02509312)
Timeframe: Intra-op until 24 hours post-partum.

Interventionunits of pRBCs (Median)
Ketorolac0
Placebo0

Uterotonic Doses

Total number of uterotonic doses including methylergonovine, carboprost and misoprostol. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

Interventiondoses (Median)
Ketorolac0
Placebo0

Change in Pain Score Post-Cesarean Delivery

Pain score post-Cesarean Delivery using 11-point numerical rating scale (NRS): 0-10 where 0 is no pain and 10 is the worst pain imaginable (NCT02509312)
Timeframe: Up to 24 hours post-cesarean delivery

,
Interventionunits on NRS (Median)
Baseline15 mins1 hour6 hours12 hours24 hours
Ketorolac000124.5
Placebo00033.55.5

Percentile Change in Diastolic Blood Pressure (DBP) at 6,12, and 24 Hours

Percentile change in diastolic Blood Pressure at 6,12, and 24 hours for each patient's baseline defined by immediate post-op PACU vitals. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

,
InterventionPercent change (Mean)
6 hours12 hours24 hours
Ketorolac12.308.812.0
Placebo7.68.811.1

Percentile Change in Systolic Blood Pressure at 6,12, and 24 Hours

Percentile change in Systolic Blood Pressure at 6,12, and 24 hours for each patient's baseline defined by immediate post-op PACU vitals. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

,
InterventionPercent change (Mean)
6 hours12 hours24 hours
Ketorolac-2.0-9.10-5.9
Placebo-0.6-2.85-3.5

Trials

4 trials available for tolmetin and Anesthesia

ArticleYear
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

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
Effect of intraoperative ketorolac on postanesthesia care unit comfort.
    Journal of pain and symptom management, 1994, Volume: 9, Issue:3

    Topics: Adult; Analgesics; Anesthesia; Double-Blind Method; Female; Humans; Intraoperative Care; Ketorolac;

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

Other Studies

5 other studies available for tolmetin and Anesthesia

ArticleYear
Effects of zomepirac and indomethacin on renal blood flow and electrolyte excretion in anesthetized monkeys.
    Life sciences, 1981, Sep-28, Volume: 29, Issue:13

    Topics: Anesthesia; Animals; Electrolytes; Glomerular Filtration Rate; Indomethacin; Macaca mulatta; Male; P

1981
Bradycardia following intravenous ketorolac in children.
    European journal of anaesthesiology, 1997, Volume: 14, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthesia; Bradycardia; Child; Female; Humans; Injections, Intravenous; I

1997
Spinal action of ketorolac, S(+)- and R(-)-ibuprofen on non-noxious activation of the catechol oxidation in the rat locus coeruleus: evidence for a central role of prostaglandins in the strychnine model of allodynia.
    Anesthesiology, 1999, Volume: 90, Issue:1

    Topics: Anesthesia; Animals; Anti-Inflammatory Agents, Non-Steroidal; Blood Pressure; Catechols; Electrophys

1999
The pharmacokinetics of postoperative intravenous ketorolac tromethamine in children.
    British journal of clinical pharmacology, 1991, Volume: 31, Issue:2

    Topics: Anesthesia; Child; Child, Preschool; Drug Combinations; Female; Half-Life; Humans; Injections, Intra

1991
Effect of esterase inhibition on the disposition of zomepirac glucuronide and its covalent binding to plasma proteins in the guinea pig.
    The Journal of pharmacology and experimental therapeutics, 1990, Volume: 252, Issue:1

    Topics: Anesthesia; Animals; Blood Proteins; Clofibric Acid; Esterases; Guinea Pigs; Hydrolysis; Male; Metab

1990