Original Articles
Pattern Of Analgesic Use In Post-Operative Pain Management In Adults Undergoing Laparotomy Surgery | |
Dr. Vivek Kumar Singh, Dr. Sandeep Kumar Yadav | |
Aim: The objective of this study was to document the pattern of drug use for postoperative pain and to ascertain the patient characteristics and analgesics used postoperatively that influence the numerical rating scale (NRS) score on the first postoperative day. Materials and methods: After taking clearance from institutional ethical committee, prospective observational study was conducted in the department of general surgery. The hospital serves a diverse population of patients from various geographic regions, including urban and rural areas, as well as various socioeconomic strata. The investigation included 100 patients who met the eligibility criteria. Results: Of the 100 patients recruited, 61 (61) were female and 39 (39%) were male. Of the patients recruited, 46 (46%) were from the department of OBG, while 54 (54%) were from general surgery. The average age of the patients who were recruited was 38.26 ± 15.88 years. Thirty patients (30%) had a prior surgical history. The surgery was elective in 59 (59%) patients and had been indicated as an emergency in 41 (41%) patients. Out of the 100 patients, 4 (4%) had diabetes and 4 (4%) had hypertension. Tramadol was the most frequently prescribed drug, followed by Pethidine, ParentralParacetamol and Diclofenac, which were also frequently prescribed for post-operative pain management. Regarding the comparison of the characteristics of patients who experienced minimal pain with those who experienced moderate to severe pain. The number of females experiencing severe pain was higher than that of males; however, this disparity was not statistically significant. There was a statistically significant difference (p=0.01) between the number of patients in the surgery department who experienced moderate to severe pain and those in the OBG department. A greater number of patients who underwent elective surgery experienced severe to moderate pain than those who underwent emergency surgery (p=0.031). Conclusion : On the first day following surgery, nearly one-third of patients reported experiencing severe pain, despite the use of opioids and combination analgesics. Newer modalities, such as epidural analgesia, were utilised sparingly, and patient-controlled analgesia was not implemented. |
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