Author(s)

Tadasuke Use, Tetsuya Sakai, Hiroko Shimamoto, Taku Fukano, Koji Sumikawa

Department of Anesthesiology, Sasebo Kyosai Hospital, Nagasaki, Japan; 2Department of Anesthesiology, Nagasaki University School of Medicine, Nagasaki, Japan..

Objective: To compare acute and long-term postoperative pain and side effects in patients undergoing mastectomy for breast cancer under general anesthesia induced with ketamine or thiamylal. Methods: Twenty four ASA physical status I-III patients undergoing mastectomy were randomly assigned to one of two groups. Ketamine group received intravenous ketamine, 1 mg/kg, and thiamylal group received intravenous thiamylal, 4 mg/kg, at the induction of general anesthesia. Anesthesia was maintained with sevoflurane, N₂O and fentanyl. The intensity of pain was assessed by using visual analog scale (VAS) 3 and 16 hr and 2, 3 and 4 weeks after surgery. Postoperative side effects, including nausea, vomiting and hallucination were also recorded. Results: At 16 hr after surgery, VAS in ketamine group was significantly lower than that in thiamylal group. However, there were no statistically significant differences between the two groups in the VAS at 3 hr and 2, 3 and 4 weeks after surgery. There were no differences in the incidence of side effects such as nausea, vomiting and hallucination between the two groups. Conclusion: Intravenous ketamine at the induction of anesthesia could reduce acute postoperative pain but not long-term pain after mastectomy.

Preventive Analgesia; Ketamine; Mastectomy; Postoperative Pain; Anesthetic Induction

T. Use, T. Sakai, H. Shimamoto, T. Fukano and K. Sumikawa, "Early and Late Postoperative Pain and Side Effects after Mastectomy: A Comparison of Ketamine and Thiamylal Administered for Anesthetic Induction," Open Journal of Anesthesiology, Vol. 3 No. 3, 2013, pp. 189-192. doi: 10.4236/ojanes.2013.33044.