Analgesia protocol
nausea and vomiting, Pain, pain
During the skin closure, patients received 50 mg of dexketoprofen and 100 mg of tramadol iv. A metoclopramide dose of 10 mg was administered iv to prevent nausea and vomiting. In the postoperative care unit, intravenous morphine was administered via a PCA pump for 24 h. Pain intensity was evaluated using a 10-point (0: No pain and 10: Unbearable pain) VAS. The PCA pump’s dose delivery was limited to administering a bolus dose of 1 mg of morphine and delivering a maximum dose of 12 mg of morphine in total within 4 h with lockout intervals of 15 min. A paracetamol dose of 1 g every 8 h and a dexketoprofen dose of 50 mg twice daily were administered iv for multimodal analgesia. As a rescue analgesic agent, 0.5 mg/kg of tramadol was given to patients iv when the VAS score at rest was ≥ 4. The patients were transferred to the ward in the 24