Comparison of Preoperative Rectal Diclofenac and Rectal Paracetamol & Their Combination for Postoperative Analgesia in Paediatric Patients

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(B), Issue. (2)
First page: (70) Last page: (82)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Comparison of Preoperative Rectal Diclofenac and Rectal Paracetamol & Their Combination for Postoperative Analgesia in Paediatric Patients
Shweta Patel1* and Manisha S.Kapdi2
1Resident doctor in Anaesthesia,Smt NHL Medical college Ahmedabad Gujarat India
2Associate professor of anaesthesia Smt NHL Medical college Ahmedabad, Gujarat,India
Corresponding Author: Shweta Patel, Email: shweta112@rediffmail.com

Online Published on 02-July-2020

ABSTRACT

Acute postoperative pain has adverse effects on the various physiological functions of the body.It can cause haemodynamicderrangement,delay in ambulation.In paediatric population it causes anxiety, apprehension & behaviour changes.Aims& objectives We conducted a randomized observational study to compare the efficacy of preoperative rectal diclofenac ,paracetamol & their combination for postoperative analgesia , haemodynamic stability, cost-effective ness, adverse effects in paediatric age group. , Material methodschildren (2– 12 yrs) undergoing minor surgical procedures were randomly allocated into 3 groups, of 30 patients eachgroup A received diclofenac suppository2 mg/kg post induction .group B received paracetamol 20 mg/kg suppository post induction.1Group C received combination of Diclofenac1mg/kg& paracetamol 10 mg/ kg suppositories Pain was assessed by the “Hanallah pain scale” which denotes pain based on 5 parameters, systolic blood pressure, crying, movements, agitation (confused, excited), and complaints of pain.Conclusion We concluded that though , diclofenac sodium , paracetamol & their combination are good postoperative analgesics when given by rectal route in pediatric patients undergoing minor surgeries, combination group provides better analgesia than others when given by rectal route in pediatric patients in terms of haemodynamics, post-operative analgesia, cost-effective ness, adverse effects.

Keywords

Postoperative pain, paediatric patients, Rectal diclofenac sodium, Rectal paracetamol, diclofenac sodium- paracetamol combination suppository

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