Journal of AdvancedMedical and Dental Sciences Research

Background: Lower abdominal pain may depend on the extent of intraperitoneal manipulation during diagnostic laparoscopy. The present study was conducted to compare morphine versus fentanyl for postoperative analgesia after ambulatory surgical procedures. Materials & Methods: 50 patients undergoing ambulatory surgery of both genderswere divided into 2 groups of 25. Group I patients received 1 mg/ml morphine and group II patients received 1.5 µg/kg IV fentanyl. Anesthetic duration, type of operation performed and visual analog score was recorded Results: Group I had 15 males and 10 females and group II had 14 males and 11 females. The mean age in group I was 34.6 years and in group II was 37.2 years, weight was 72.5 kgs in group I and 74.4 kgs in group II. Anesthetic duration was 60.2 minutes in group I and 68.7 minutes in group II. Operation performed was arthroscopy in 12 in group I and 8 in group II, elbow surgery was performed in 7 in group I and 9 in group II and shoulder surgery in 6 in group I and 8 in group II. The mean VAS in group I was 3.5 and in group II was 6.2. The difference was significant (P< 0.05). Side effects were nausea/vomiting seen in 10 in group I and 8 in group II, drowsiness 8 in group I and 5 in group II and dizziness 4 in group I and 1 in group II. The difference was significant (P< 0.05). Conclusion: Authors found that Morphine produced a better quality of post operative analgesia as compared to fentanyl.