Multimodal and Unimodal Analgesia in Cholecystectomy

Comparison Between Multimodal and Unimodal Analgesia in Cholecystectomy

Many surgical procedures are accompanied by postoperative pain with severity moderate, severe or extreme and insufficient postoperative pain control may cause risk of post-surgical complications and risk of chronic post-surgical pain The targets of preoperative pain management are to relieve patient suffering, reduce length of hospital stay and achieve early mobilization after surgery, decreasing opioid consumption and its side effects that are constipation, nausea, vomiting, dizziness, respiratory depression which is the most feared complication being life-threatening and some less common side effects as sedation

Inclusion Criteria:

• Patients undergoing laparoscopic cholecystectomy
• Patients older than 18 years old

Exclusion Criteria:

• Renal or hepatic or cardiac impairment patients
• Patients with chronic pain history
• Allergic patients after taking aspirin or other NSAIDs
• patients with active gastrointestinal bleeding, ulcer and inflammatory bowel diseases or cerebrovascular bleeding