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Abstract

Pain is "an uncomfortable sensory and emotional experience related to existing or potential tissue damage, or defined in terms of such damage," according to the International Association for the Study of Pain. Following a laparoscopic cholecystectomy, the patient experiences painful shoulder and abdominal pain. Peritoneal stretching and diaphragmatic irritation by increased intra-abdominal pressure brought on by pneumoperitoneum are two possible reasons of this pain. Presence of this pain may cause uses of analgesic drugs, to provide a better level of analgesia for patient undergoing laparoscopic cholecystectomy and reduce the consumption and the side effects of opioids Sixty adults males and females (Male was 14 and female was 46) were involved in this study and they underwent a general anesthesia, In all selected patients, pain score was recorded by used numerical pain score and Wong-Baker FACES Pain Rating Scale, and After the full recovery of the patient, we record the pain score (combined numerical and face pain scale) for the patient each 5 minutes until 30 minutes (1min, 5min, 10min, 15min, 20min, 25min and 30 min). There little difference between intravenous acetaminophen and intravenous morphine in control postoperative pain in laparoscopic cholecystectomy, in comparison between study group and American Society of Anesthesiologists (ASA) found at (10 min) there was little difference between group A&B in minimum with mean pain score (A=4.37, B=4.3) and at (15 min), there was little difference between group A&B in mean pain score (A=3.87, B=3.97). the acetaminophen (paracetamol) can be used as alternative to morphine to reduce post laparoscopic cholecystectomy pain and reduce the consumption of opioids and the side effect associated with it.

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