Journal of AdvancedMedical and Dental Sciences Research

Aim: To compare morphine and fentanyl for postoperative analgesia after ambulatory surgical procedures. Methodology: Seventy patients undergoing ambulatory surgery of both genders were divided into 2 groups of 35 each. Group I patients received 1 mg/ml morphine and group II patients received 1.5 µg/kg IV fentanyl Results: Group I had 20 males and 15 females and group II had 17 males and 18 females. The mean age in group I was 35.6 years and in group II was 39.2 years, weight was 70.5 kgs in group I and 79.4 kgs in group II. Anesthetic duration was 52.2 minutes in group I and 69.7 minutes in group II. The difference was significant (P< 0.05). Operation performed was arthroscopy in 15 in group I and 10 in group II, elbow surgery was performed in 9 in group I and 8 in group II and shoulder surgery in 11 in group I and 17 in group II. The difference was significant (P< 0.05). The mean VAS at 10 minutes was 75.2 in group I and 68.7 in group II, at 20 minutes was 56.4 in group I and 51.4 in group II, at 30 minutes was 40.6 in group I and 48.2 in group II, at 40 minutes was 28.7 in group I and 37.4 in group II, at 50 minutes was 16.2 in group I and 28.6 in group II and at 60 minutes was 12.4 in group I and 22.4 in group II. The difference was significant (P< 0.05). Conclusion: Morphine produced a better quality of post- operative analgesia as compared to fentanyl.