Use of rectal Diclofenac as an adjunct to spinal analgesia after caesarean section
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 1
Abstract
Objective: 1) To evaluate the analgesic efficiency of Rectal Diclofenac for post operative pain relief after caesarean section. 2) To evaluate number of doses of analgesics required for post operative pain relief after caesarean section after using rectal diclofenac. Method: The study was conducted at Govt Medical College, Akola during Dec 2017 March 2018.100 females posted for elective and emergency caesarean section of ASA Grade I and II were selected for study.Of those 50 were allocated in study group and 50 in control group. Study group given rectal diclofenac suppository and control group were given rectal glycerine suppository postoperatively. Pain was assessed with visual analogue scale (VAS) at different postoperative interval. Analysis was done by using SPSS. Results: Both groups were comparable in demographic data. The mean time of first dose of analgesia required was 7.8 hrs in study group and 3.48 hrs in control group, means rectal suppository increases the duration of analgesia. The number of analgesia doses required during 48 hrs postoperatively were 2.88 while in control group 4.34. while in study group only 10% patient woke up at night due to pain and in control group 48% patient woke up. Conclusion: This study concludes that rectal diclofenac suppository is effective and safe for postoperative pain relief in post caesarean section patients. Quality of analgesia achieved was better with diclofenac. It has got long duration of action postoperatively. It can be administered easily by noninvasive route without any side effect.
Authors and Affiliations
Sapkal Pravin S, Y D Patil, Rajurkar Sampda S
Keywords
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