Paracetamol Plus Tramadol Versus Fentanyl in Day Case Surgeries

Postoperative pain is an important problem, especially for day case surgeries. It has negative effects on patient's hemodynamics and can cause delayed ambulation resulting in prolonged duration of hospital stay and poor patient satisfaction. Multiple analgesic strategies have been proposed including NSAID, opioids, epidural analgesia. Each of them has its limitations. In this study the investigators will compare the effect of preemptive use of paracetamol plus tramadol versus preemptive intravenous fentanyl in controlling postoperative pain

Inclusion Criteria: * Patients scheduled for day case surgeries. * Patient's age: 21-65 years. * Patients with ASA physical status I, II. * BMI 25 - 30 25-30 kg/m² Exclusion Criteria: * Uncooperative patients * Patients with psychological problems * Patients with liver or renal impairment * Patients with a history of allergy to the drugs used in the study * Patients with chronic pain and current use of analgesic therapy for a pre-existing condition * Patients who did not fulfill the inclusion criteria