Pain Management In Postoperative Period Research Articles

COMPARATIVE STUDY OF THE USAGE OF RECTAL TRAMADOL SUPPOSITORY VERSUS WITHOUT SUPPOSITORY FOR POST-OPERATIVE PAIN MANAGEMENT IN CASES OPERATED UNDER SPINALANESTHESIA

Introduction: Various techniques and medications are employed to lessen postoperative discomfort. Present study aimed to assess the efcacy of pre-operative tramadol suppository administration for the management of post-operative pain in patients undergoing surgery under spinal anaesthesia, requirement of analgesia and duration of hospital stay. Material & Method: The present comparative study with patients presenting to the department of General Surgery, AVMCH who were posted for elective surgeries & with no evidence/signs of inammation/infection consenting were included in the study. Patients were grouped based on utility of tramadol suppository, cases were with administration of rectal suppository and control group was with no pre-operative administration of rectal suppository. The patients were assessed for the post-operative pain at different point of time, mean duration of hospital stay and any side effects like nausea, vomiting between the groups. Results: Total 152 patients included in the study, with mean age of 47.57yrs. The pain score was signicantly lower among the cases compared to control at 1st hr, 6th hr, 12th hr and 24th hr post-operative period. (p<0.05) There was signicant shorter duration of hospital stay among the cases (2.3days) compared to controls (3.2days).(p<0.05) Conclusion: A signicant pain management in post-operative period with the utility of tramadol suppository administration compared to the patients without suppository

Patient-Tailored Analgesic Practice for Orthopedic Patients

Background: Pain is a highly deleterious experience for human being during disease condition. Post operative pain of patient is an important concern for health care professional. Aim: The aim of the study was to assess the level of pain and pattern of analgesic practices among patient undergoing orthopedic surgeries and to develop patient tailored analgesic practice. Objectives: The present study objective is to assess the level of pain and pattern of analgesic practices among patient undergoing orthopedic surgeries with a view to develop patient tailored analgesic practice. Materials and Methods: Quantitative research approach with a prospective Observational Design was used for the present study to assess the level of pain and pattern of analgesic practices among patient under going orthopedic surgeries with a view to develop patient tailored analgesic practice in selected orthopedic inpatient department at All India Institute of Medical Sciences, Rishikesh, India. This study consisted of 100 patient undergone orthopedic surgery among them majority (49%) of patient were suffering from lower extremity injury. Results: The result of study revealed that majority (85%) ofpatient were suffering from severe pain and pattern of analgesic were tramadol, paracetamol used by them intravenous route. Conclusion: Pain management in Postoperative period after orthopedic surgery should be given a high priority. While, appropriate pain management strategy should be implemented to decrease postoperative pain.

Basics of Acute Postoperative Pain

Acute pain is an important fear for most patients and influences their recovery and overall experience. Poorly treated, it could lead to undesirable effects and patient dissatisfaction. Hence, it is important to understand, assess and treat acute pain effectively. Pain management has been transferred from intraoperative into per operative period throughout the emergence of modern anesthesiology. Pain management in postoperative period is one of the most essential components of sufficient post-surgical patients care. The objective of this review is to define and demonstrate the risks and different sequelae of acute post operative pain.