الفهرس 
Comparison between low-dose ketamine infusion and Intravenous morphine infusion for analgesia in laparotomy myomectomy
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Abstract
Objective:To compare the effects of intravenous low dose ketamine infusion versus morphine infusion analgesia in pain reduction by assessing the amount of fentanyl needed intraoperatively and VAS postoperatively for patients undergoing myomectomy in Alkasr Alainy hospital. Subjects and methods: This study is a prospective, randomized; double-blinded that will be performed in Kasr Alainy hospital on 80 patients undergoing myomectomy. The computer was used to randomly allocate all parturient into two groups. group K: The ketamine group was administered ketamine in a loading dose of 0.2 mg/kg over 5 minutes, 10 minutes pre incision followed-by an infusion at 0.2 mg/kg/h until the end of surgery. (n=40) group M: The Morphine group was administered morphine in a loading dose of 0.1 mg/kg over 20 min, 10 minutes pre incision then infused with morphine The initial infusion rate is 5-40 microgram/kg/hour. (n=40). Intraoperative and postoperative MAP, HR, SpO2 and fentanyl requirements were recorded, as well as the Ramsay score and VAS were assessed and postoperative complications were evaluated. Results: There were no statistically significant differences between the two studied groups as regards to the amount of fentanyl required and occurrence of complications the VAS assessment showed a noticeable decrease in both groups postoperativel