Volume : V, Issue : II, February - 2016

EFFICACY OF INTRAVENOUS PARACETAMOL FOR POST OPERATIVE ANALGESIA

Dr. Jayanth. M. N, Dr. Naveen Kumar. C. P

Abstract :

 BACKGROUND & OBJECTIVES: Post operative pain is considered as a form of acute pain owing to surgical trauma with an inflammatory reaction, Sub–optimal Postoperative pain management has known to cause increased expenditure, morbidity and mortality.IV paracetamol has shown to be effective in mild to moderate pain in various studies. Thyroid surgery post operative pain, has been a model for mild to moderate pain. Hence this study is to know the efficacy of IV paracetamol as a post operative analgesia in thyroid surgeries. METHODS: This is an observational study involving adult human patients posted for thyroid surgical procedures. All patients were either ASA–1 or ASA–II ,60 patients were given IV paracetamol 15mg/kg 30 minutes before surgery. All patients received 15mg/kg of IV paracetamol every 6 hours for 24 hours. Post operativepain was analysed by visual analog score at time intervals 1st ,3rd ,6th and 24th hour RESULTS: The mean vas scores at first hour after surgery was 28.98+8.36.The mean vas scores became less at 3rd ,6th and 12th hour.Most of the patient rated their vas score after surgery as moderate that is vas scores between 20 to 40mm. Out of 60 patients only 12 patients required rescue medication. I.V. paracetamol given pre–emptively was able to keep the VAS score <40mm in 88.3% of patients. INTERPRETATION & CONCLUSION IV Paracetamol 15mg/kg is an effective analgesic for thyroid surgeries when it is used as a pre–emptive analgesia . Very few patients required rescue medication mostly during the 1st hour after surgery

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR.JAYANTH.M.N, DR.NAVEEN KUMAR.C.PB Efficacy of Intravenous Paracetamol for Post Operative Analgesia International Journal of Scientific Research, Vol : 5, Issue : 2 February 2016

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