A COMPARATIVE STUDY OF TRANSDERMAL BUPRENORPHINE PATCH VERSUS TRANSDERMAL DICLOFENAC PATCH FOR POST-OPERATIVE ANALGESIA IN ELECTIVE BELOW UMBILICAL SURGERIES

FARHA DEEBA RAJASAB; SHERLEY.S CHERIAN; RAKESH KALAPPA; HARIPRIYA RAMACHANDRAN

doi:10.22159/ijcpr.2024v16i4.4095

Authors

FARHA DEEBA RAJASAB Shri Atal Bihari Vajpayee Medical College and Research Institute, Shivaji Nagar, Bengaluru, India https://orcid.org/0009-0002-2943-8869
SHERLEY.S CHERIAN Department of Anaesthesia, Mvj Medical College and Research Hospital Bengaluru, India https://orcid.org/0000-0002-4074-8131
RAKESH KALAPPA Department of Anaesthesia, Mvj Medical College and Research Hospital Bengaluru, India https://orcid.org/0000-0001-9811-7618
HARIPRIYA RAMACHANDRAN Department of Anaesthesia, Mvj Medical College And Research Hospital Bengaluru, India https://orcid.org/0000-0002-6867-3100

DOI:

https://doi.org/10.22159/ijcpr.2024v16i4.4095

Keywords:

Buprenorphine, Diclofenac, Postoperative analgesia, Transdermal patch, Elective Surgeries

Abstract

Objective: Effective postoperative pain management is crucial for recovery and patient satisfaction. This study compares the efficacy and safety of transdermal buprenorphine, an opioid analgesic, with diclofenac, a non-steroidal anti-inflammatory drug (NSAID), for postoperative pain relief in elective below umbilical surgeries.

Methods: Hundred patients undergoing elective below-umbilical surgeries were randomized into two groups to receive either a transdermal buprenorphine patch or a diclofenac patch. Pain scores using the Numeric Rating Scale (NRS), functional recovery assessed by the WOMAC Index, and patient satisfaction were measured at baseline, 1 w, 2 w, and 4 w post-application.

Results: Both groups showed significant pain reduction over time. However, at 1 and 2 W post-application, the diclofenac group exhibited greater pain relief (p<0.001) and higher patient satisfaction. By the 4 w, differences in pain scores and WOMAC Index between the groups were not statistically significant, indicating similar long-term efficacy.

Conclusion: While both transdermal buprenorphine and diclofenac patches are effective for postoperative pain management, diclofenac patches offer superior short-term relief and patient satisfaction. Tailoring pain management strategies to individual patient needs and recovery phases is essential for optimizing postoperative care.

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