Effect of pre-operative rectal diclofenac suppository on post operative analgesic requirement in cleft lip palate repair
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 3
Abstract
Respiratory depression, sedation, nausea and vomiting are common problems associated with the use of opioid analgesics during surgeries. Diclofenac, a non‑steroidal anti-inflammatory drug (NSAID) can be an effective and safe option. The Aims and objectives in the present study was done to assess the efficacy and safety of rectal diclofenac, used in cleft palate repair for post‑operative analgesia. The Materials and methods in a prospective randomized double blind study were done including 60 children’s posted for cleft lip and palate repair. The patients were divided into Group A (did not receive any suppository) and Group B (received diclofenac suppository at 1mg/kg dose before induction and intubation). Pain assessment was done using Modification of Objective pain scale. In Results the Mean age in Group A and Group B was 27.13±17.18 and 33.60±20.71 months respectively. In group A, 80% children require rescue analgesia as compared to Group B (26.66%). There was a significant reduction in pain score at 90 minutes and at 2 hours in Group B as compared to Group A (p<0.05). In Conclusion the Administration of rectal diclofenac can be an alternative in reducing postoperative pain. Keywords: rectal diclofenac, postoperative pain, cleft lip palate repair.
Authors and Affiliations
Dr Brijmohan Sahu, Dr Chandra Shekhar Mishra
Keywords
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