PRE–EMPTIVE ORAL GABAPENTIN FOR POSTOPERATIVE PAIN RELIEF IN PATIENTS UNDERGOING MIDDLE EAR SURGERIES –A PROSPECTIVE STUDY

Dr. Pardumanjit Singh Dhaliwal; Dr. Chaitri Shah; Dr. Sumit Kumar; Dr. Dinesh Chauhan

Volume : VII, Issue : I, January - 2018

PRE–EMPTIVE ORAL GABAPENTIN FOR POSTOPERATIVE PAIN RELIEF IN PATIENTS UNDERGOING MIDDLE EAR SURGERIES –A PROSPECTIVE STUDY

Dr. Pardumanjit Singh Dhaliwal, Dr. Chaitri Shah, Dr. Sumit Kumar, Dr. Dinesh Chauhan

Abstract :

Background

Pain is subjective unpleasant experience with psychosomatic problems. Many modalities for pain relief have been implemented. Gabapentin modulates both central and peripheral nociceptive responses.

Method

60 adult patients of either gender were divided into two groups of 30 each with group G receiving 600 mg of gabapentin and Group P matched placebo orally 2 hours prior to surgery. Postoperative analgesia was judged by using VAS score. When VAS score was >3 Inj. Diclofenac 75mg was given intravenously.

Results

VAS scores were significantly lower on first postoperative day in gabapentin group as compared to placebo group (P < 0.01).

Conclusion

Pre–emptive administration of 600 mg of gabapentin results in significant reduction in the requirement of analgesics in immediate post operative period.