Barton C R, Elliott C
Nurse Anesth. 1992 Sep;3(3):125-31.
The benefits of using ketorolac as a preoperative intramuscular (IM) non-narcotic analgesic are described and illustrated by the presentation of two case reports. Case Summary--Patient 1: A 53-year-old female who had experienced refractory nausea and vomiting after six previous exposures to anesthesia presented for outpatient ureteroscopy and dilatation of strictures. Instead of using an opiate narcotic, ketorolac 60 mg IM was given 1 hour before induction as the analgesic portion of anesthesia. Case Summary--Patient 2: A 65-year-old male with mild chronic obstructive lung disease presented for extracorporeal shock wave lithotripsy (ESWL). To avoid the respiratory depression associated with opioid narcotics, ketorolac 60 mg IM was given as an analgesic 1 hour before the ESWL procedure.
通过两个病例报告的呈现，描述并说明了使用酮咯酸作为术前肌肉注射（IM）非麻醉性镇痛药的益处。病例摘要——患者1：一名53岁女性，此前六次接受麻醉后均出现难治性恶心和呕吐，此次前来接受门诊输尿管镜检查及狭窄扩张术。在诱导前1小时，未使用阿片类麻醉剂，而是给予60毫克酮咯酸肌肉注射作为麻醉的镇痛部分。病例摘要——患者2：一名65岁男性，患有轻度慢性阻塞性肺疾病，前来接受体外冲击波碎石术（ESWL）。为避免与阿片类麻醉剂相关的呼吸抑制，在ESWL手术前1小时给予60毫克酮咯酸肌肉注射作为镇痛药。
