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Tue Aug 8 13:53:33 BST 2006

Guy

As long as you give it orally or rectally - the incidence of complications after IMI diclofenac is so high that the Medical Protection Society in South Africa considers this an indefencible action and the Health Professions Council of SA a reason for investigation of a doctor for negligence (Personal communication with KD Boffard of the HPCSA Disciplinary Committtee)

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (SU)
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Guy Jackson
Sent: Tuesday, August 08, 2006 8:51 AM
To: Trauma &amp; Critical Care mailing list
Subject: Re: Ketorolac

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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