COMPARISON OF DIFFERENT DRUG REGIMENS USED IN POST-SURGICAL PAIN MANAGEMENT IN A TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i6.44544Keywords:
Postoperative pain management, Analgesics, Visual analogue scale, Pain scaleAbstract
Objective: The current pain assessment and treatment does not address every patient’s requirements. To establish the accurate diagnosis and determine the most effective treatment strategy for patients who arrive with pain, a precise and systematic pain evaluation is essential.
Methods: This was a retrospective study. A data collection form was used to collect demographic data, medications, surgery, and anesthesia, The visual analog scale (VAS) score was noted on days 1, 2, and 3 after surgery.
Results: The study was conducted from February 2021 to July 2021 in a tertiary care hospital in Pimpri-Chinchwad which comprised of 282 patients. There was not much difference in the mean age of the patients of either sex undergoing surgeries at the hospital which figured up to 48.22 years of the females and 48.68 years of the male patients. The VAS scores of males and females both were same for day 1 and day 3 post-surgery, while the average VAS scores for day 2 after surgery were 1.28 and 2.27 for females and males, respectively. Approximately 49.64% patients received paracetamol after surgery. About 24.46% of patients received paracetamol and diclofenac in combination, 8.51% of patients received paracetamol, diclofenac, and tramadol in combination.
Conclusions: Many patients continue to endure moderate pain in the post-operative period, despite the fact that there exist recommendations and ways for treating pain after surgical procedures. The use of different analgesics does not appear to make a meaningful difference in post-operative pain control.
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References
Anand KJ, Craig KD. New perspectives on the definition of pain. Pain 1996;67:3-6. doi: 10.1016/0304-3959(96)03135-1, PMID 8895225
Weisenberg MI. Pain and pain control. Psychol Bull 1977;84:1008-44. doi: 10.1037/0033-2909.84.5.1008, PMID 335423
Brennan F. The US congressional ”decade on pain control and research”. J Pain Palliat Care Pharmacother 2015;29:212-227. doi: 10.3109/15360288.2015.1047553, PMID 26458017
Beck RS. ???. JCAHO Conn Med 1989;53:611. PMID:2582765
David B, George DS, Siobhain MO. Postoperative pain and the gut microbiome. Neurobiol Pain 2021;10:100070. doi: 10.1016/j. ynpai.2021.100070
Stephan AS, Chui C. Pain management after ambulatory surgery. Curr Opin Anaesthesiol 2009;22:738-43. doi: 10.1097/ ACO.0b013e32833020f4, PMID 19606022
Girish PJ, Babatunde OO. Consequences of inadequate postoperative pain relief and chronic persistent postoperative pain. Anesthesiol Clin North Am 2005;23:21-36. doi: 10.1016/j.atc.2004.11.013, PMID 15763409
Khursheed M, Erin C. Postoperative pain control. Surg Clin North Am 2015;95:301-18. 10.1016/B978-1-4557-4555-5.00015-7
Anthony M. Perioperative. Pain Manag 2020; ???:???. doi: 10.1007/978- 3-030-39982-5_2
James CE, Timothy JB. Pain after surgery. Pain 2018;159:1010-1. doi: 10.1097/j.pain.0000000000001223, PMID 29768304
Ronald CA. Pain can be incapacitating. Cranio 2015;33:165-6. doi: 10. 1179/0886963415Z.000000000119, PMID 26159688
Glyn W, Richard H. Postoperative Pain Management. Treasure Island. FL: StatPearls; 2021. 10.1093/Med/9780198818762.003.0028
Nicola C. Visual analogue scale (VAS). J Clin Nurs 2001;10:697-706. doi: 10.1007/978-3-211-89836-9_1450
Walmsley P, Brockopp DY. Vas measurement of pain intensity: Type and frequency. Reg Anesth 1991;16:7.
David P, Nancy D. Defence of the Visual Analogue Scale? ???: ???; 2003.
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Copyright (c) 2022 AIMAN PEERKHAN, SAMRUDDHI PATWARDHAN, YOGESH PANDEY, saurabh gandhi
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