List Archives

Tue Aug 8 07:50:35 BST 2006

Kim,

Ketoralac had its licence removed for peri-op analgesia here in the UK.
There were concerns with bleeding and renal failure. There are also concerns
regarding bone healing. In the literature to date it is clear that if you
want to stop fracture healing use ketoralac in your trial!

Personally, in the absence of contra-indications, I use short course
diclofenac. This is because the incidence of side effects is by definition
dose and duration of therapy related, and it allows patients with fractures
to get mobile and get off them. I actively limit the space on the drug chart
to ensure this.

Hope this helps,

Guy Jackson
London, UK

----- Original Message ----- 
From: "Kim Rünitz" <kimrunitz at gmail.com>
To: <trauma-list at trauma.org>
Sent: Monday, August 07, 2006 6:26 PM
Subject: Ketorolac

Dear List members!

I remember a recent debate on the safety of Ketorolac as postoperative
analgesia. But now I am not able to find these references.
Does it ring a bell with any of you? What is your policy?

Best regards

Kim Rünitz
M.D.
Trainee in anestesiology

Bornholmsgade 6, 3.Th
1266 Kbh K
Danmark
Telf: # 24654717
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