A PROSPECTIVE, RANDOMIZED CONTROL STUDY EVALUATING THE POSTOPERATIVE ANALGESIA USING RECTAL DICLOFENAC IN PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY SURGERIES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 19
Abstract
BACKGROUND: To assess the efficacy of rectal diclofenac suppository in patients undergoing elective laparoscopic cholecystectomy surgeries in management of postoperative pain, in reduction of intra operative opioid requirement and in prolongation of postoperative analgesic initiation time. OBJECTIVES: This prospective randomized single blinded clinical trial evaluates the efficacy of rectal diclofenac suppository for the management of postoperative pain. MATERIALS AND METHODS: 100 patients undergoing elective laparoscopic cholecystectomy surgeries were randomized into two groups, Group 1 patients receiving 100mg diclofenac rectal suppository after induction of general anaesthesia, Group 2 patients does not receive any diclofenac rectal suppository. Intra operative hemodynamic monitoring, post-operative VAS score and adverse reactions were recorded over period of 24 hrs. Intra operative opioid (fentanyl) was repeated when heart rate and blood pressure variability of more than 20% from base line are noted. Post operatively if VAS score is more than 4 rescue analgesia with inj. Tramadol is given intramuscularly. RESULTS: Administration of single dose of rectal diclofenac had statistically significant reduction in VAS score post operatively compared to control group, reduced requirement of intra operative opioids (fentanyl). Post-operative rescue analgesia initiation time is prolonged in group 1 mean 9.56 hrs compared to group 2, mean 0.72 hrs (p-0.000). CONCLUSION: Rectal Diclofenac used in laparoscopic cholecystectomy cases provide adequate, effective prolonged analgesia in the post-operative period with good safety profile.
Authors and Affiliations
Padmaja A, Varma T. A. R. S. , Aparanji K
Keywords
Related Articles
- EP ID EP228825
- DOI 10.18410/jebmh/2015/419
- Views 119
- Downloads 0
STUDY OF VITAMIN D LEVELS IN PATIENTS OF ACUTE MYOCARDIAL INFARCTION
BACKGROUND Acute myocardial infarction (AMI) is a major concern globally and recent studies explored the role of vitamin D deficiency as one of the predisposing factors and documented its deleterious effect both in morta...
INTRASPINAL HYDATID CYST- RARE CASE REPORT
PRESENTATION OF CASE A 20-year-old male presented to us with complaints of urinary incontinence and right lower limb weakness. On examination the patient had continuous urinary dribbling with lower motor neuron type of b...
BISPHOSPHONATE INDUCED STRESS FRACTURE OF BILATERAL FEMUR: A CASE REPORT
Osteoporosis is a common problem affecting people after 4-5 decade of life. There are various treatment options available for Osteoporosis and Bisphosphonates are widely used. Bisphosphonates work by blocking osteoclast...
STUDY OF CLINICO- EPIDEMIOLOGICAL PROFILE OF PATIENTS ADMITTED WITH INFANTILE TREMOR SYNDROME (ITS) AND STATUS OF TRACE ELEMENTS (ZINC, COPPER) DEFICIENCY IN THEM
BACKGROUND Under nutrition is one of the major problems in the field of Paediatrics. The greatest risk of malnutrition is in the first two years of life. The effects of this early damage on health, brain development, int...
A RARE CASE OF NEUROFIBROMATOSIS TYPE 3
Neurofibromatosis is a type of genetic disorders characterized by cutaneous lesion and increased risk of brain tumours. NF1 is associated with more skin lesions and less CNS tumours, whereas NF2 is associated with minima...