Evaluation of Use Pattern of Analgesics in Post-Operative Pain Management among Surgically Treated Patients in a Tertiary Hospital in Khulna, Bangladesh
Abstract
Background: Effective management of postoperative pain provides a significant successful outcome of any surgical cases. Objectives: This study was designed to address the evaluation of using analgesics in relieving postoperative pain. Methods: After taking proper approval from hospital administration a prospective observational study was conducted in 250 surgically treated patients from January 2019 to May 2019 in a tertiary care hospital where patient of all ages and both sexes were included and prescriptions which did not contain analgesics were excluded from the study. Data was collected from day of operation to 5th post- operative day (POD) of each individual patient. Analysis of data was done by SPSS of 18.0 version. Results: Among 250 patients recruited 165 (66%) patients were female and highest numbers of patients were in the age group 18- 37 years 180 (72%). In the day of operation opioid tramadol and non-opioid diclofenac was mostly prescribed analgesic. Associated analgesics
were pethidine and or ketorolac. Among different combinations of analgesics, ketorolac & diclofenac combination 33% is used in highest cases. Average number of analgesic was 2.1 in the day of operation which became 1 in 5th POD. Percentage of patients prescribed analgesics from national essential drug list was 22%. The most common route of administration was intravenous (91.6%). Oral form was prescribed in 4th & 5th postoperative day. Conclusion: These results emphasize that a further study is needed to improve analgesic use by following standard treatment guideline to achieve effective pain management.
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Published 20-09-2021
Keywords
- analgesic,
- postoperative pain,
- diclofenac
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