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Clinical study on post operative analgesia and pain management of patients undergoing elective surgeries

Siva Rama Krishna Rao Mukiri.

Abstract
Background: Adequate control of the postoperative pain plays an important role in postoperative management, taking into account the fact that, beyond the fear for the outcome of surgery, the main concern of patients is related to postoperative pain, which is often perceived as the most unpleasant event and unwanted side effect of the surgical act. The objective was to assess post-operative pain, to compare various modalities of pain management in respects of analgesic efficacy, level of sedation.
Methods: This is a prospective, descriptive study. All the patients were explained about the study, an informed consent was taken. They were explained and educated about the Visual Analogue Scale (VAS) and the usage of it preoperatively. The degree of pain perceived by the patients was evaluated at 1, 3, 6, 12, 24, 48, and 72 hours following surgery, using VAS in mm. The level of sedation was determined using Ramsay’s Sedation score. 4 analgesic modalities were used.
Results: Patients in group IV experienced lowest VAS scores compared to all remaining group patients at all intervals of time except at 6 hours when the average VAS score was more. Level of sedation for patients in group IV was negligible compared to other groups and also few complications.
Conclusions: Multi modal analgesia with wound infiltration win LA + IV tramadol + IM diclofenac achieved the best level of analgesia in this study with least consumption of opioids, lowest level of sedation and with best patient satisfaction.

Key words: Clinical study, Pain management, Surgery



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