Volume : VII, Issue : VIII, August - 2017

A COMPARISON OF INTRAVENOUS PARACETAMOL AND INTRAVENOUS DICLOFENAC SODIUM FOR POST–OPERATIVE PAIN RELIEF IN FUNCTIONAL ENDOSCOPIC SINUS SURGERY– A RANDOMIZED STUDY

Dr B. Jeyarani, Dr T. Kanagarajan

Abstract :

 AIM The study was to compare the efficacy of intravenous paracetamol for post–operative analgesia, opioid spå effect and side effects with intravenous diclofenac in Functional endoscopic sinus surgery.

MATERIALS AND METHODS 50 Adults patients between 20 to 45 years were recruited. They received a standard anaesthetic technique including Fentanyl 2µg/kg. Patients were randomised to receive either intravenous paracetamol or intravenous diclofenac sodium. Visual Analogue Scale was assessed regularly at 0,10,20,30 mins,1hr,2hr,3hr,4hr,5hr,6hr during the postoperative period. Total dose of fentanyl and number of doses were also calculated. Incidence of post–operative complication (if any) were also studied.

RESULTS

The protocol was successfully completed in 50 adults. There was no significant difference between intravenous paracetamol and intravenous diclofenac sodium initially during the first 10,20,30 mins and 1hr after the completion of surgery. Thereafter difference was statically significant with diclofenac group having higher VAS score at 2,3,4,5,6 hr.

CONCLUSION

1.      Intravenous paracetamol 15mg/kg gives better post–operative pain relief, less incidence of side effects when compared to intravenous diclofenac sodium.

2.      Total requirement of rescue analgesics was similar in both groups.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr B. Jeyarani, Dr T.Kanagarajan, A COMPARISON OF INTRAVENOUS PARACETAMOL AND INTRAVENOUS DICLOFENAC SODIUM FOR POST–OPERATIVE PAIN RELIEF IN FUNCTIONAL ENDOSCOPIC SINUS SURGERY– A RANDOMIZED STUDY, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾8 | August‾2017

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