More than 230 million people undergo surgery each year worldwide and
the number is increasing annually. Surgery causes commonly postoperative
pain that should be alleviated as soon and as effective as possible to reduce
suffering, to promote the healing process and rehabilitation and to prevent
complications. However, clinical pain management after surgery is far from
being successful despite dramatically increased scientific evidence in this
area. Many patients suffer from severe pain after surgery. Aim: The aim of
this study is to compare between ketorolac and nefopam when administered
intravenously as post-operative analgesia in cesarean section. Patients
and methods: 60 patients, who were candidates for elective & emergency
cesarean section, Patients were randomly assigned to receive intravenous
infusion of Nefopam (Group A) or an intravenous infusion of Ketorolac (Group
B) with induction of anesthesia. All patients received Tramadol ampule 100
mg after delivery of baby as analgesia. The patients were also observed for
development of sweating, nausea and vomiting with the vital signs during
recovery phase. Results: there are a significant difference between group
A (Nefopam) and group B (Ketorolac) regarding Numerical rating scale
(NRS) and patient satisfaction. Conclusions: Nefopam is more effective than
ketorolac in controlling pain for patients undergoing cesarean section.