Comparison Of Preoperative Rectal Diclofenac And Rectal Paracetamol & Their Combination For Postoperative Analgesia In Paediatric Patients

Abstract

Background 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 methods children (2– 12 yrs) undergoing minor surgical procedures were randomly allocated into 3  groups, of 30 patients each group A received diclofenac suppository2 mg/kg post induction . group B received paracetamol 20 mg/kg suppository post induction.  Group C received combination of Diclofenac1mg/kg& paracetamol 10 mg/ kg suppositories 1 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.