Role of intravenous paracetamol for control of pain in post operative cases at tertiary care centre in Northern India
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 4
Abstract
Introduction Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.1 Accurate management of pain is one of the most important challenges of health care providers. One of the most important concerns of the patients in postoperative period is postoperative pain. Effective relief of postoperative pain is one of the primary targets as postoperative pain also affects the clinical outcomes of the surgeons.4,5 Materials and methods The present study is based on 50 cases, who underwent open cholecystectomy through Kocher’s subcoastal incision. 25 are study cases and 25 control cases admitted in the Surgery Department, Guru Nanak Dev Hospital, Amritsar. This study is conducted for the time period of one and half to two years. The study cases (group A) are given iv Paracetamol 1000 mg and inj Tramadol post operatively and control cases (group B) are given, only inj. Tramadol at 0 hour, 8 hour, 16 hour and 24 hours for post-operative pain management. This study deals with the role of iv paracetamol for control of pain in operated cases of open cholecystectomy. The effect of each dose in terms of pain, perception and any change in vitals are checked post operatively at 8 hour, 16 hour and 24 hours in both study cases and control cases. Results The result was based on age, sex, duration of symptoms, BMI, mean tramadol dose, BP, vitals, VAS score, length of hospital stay, side effects. Conclusion Data were collected related to amount of tramadol used, VAS score, length of hospital stay and side effects. The combination of intravenous paracetamol and tramadol is similar to intravenous tramadol alone in terms of pain control but is better than latter in terms of side effects like nausea, vomiting, dizziness and headache. So combination of intravenous paracetamol and tramadol could be preferred over intravenous tramadol alone during the post- operative period.
Authors and Affiliations
Satpal Hans1 , Sanjeev Sharma 2 , Anand Dutta3 , Sahil Mashal3 , Nirbhaibir Singh3 , Devika Krishnakumar3 , Gaurav Sharma3 , Parneet3 , NS Neki4
Keywords
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- EP ID EP552767
- DOI 10.22192/ijcrms.2018.04.04.001
- Views 145
- Downloads 0
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