Evaluation of Effectiveness of Diclofenac Transdermal Patch For Immediate Post Operative Analgesia in Post Lscs Patients in a Teritiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Dicofenac patch is a novel approach to a less invasive advent of analgesia. Most of the older versions of analgesia were one or other way invasive, which needs the assistance of medical or para medical staff.In older methods like intramuscular or intravenous strict sterile precautions are necessary for proper outcome, sterility of the needle or person who is administering it is needed. Here this method eliminates the need for multiple injections, avoids first pass metabolism and is unaffected by first pass metabolism, definitive role in topical anaesthesia, acute pain management musculoskeletal and neuropathic pain. Diclofenac patches are available at strengths of 100mg, 200mg. Materials and MethodsSample size of 50 each selected for the study randomised by computer generated random number table method study group (I) administered 100 mgm transdermal patch of 100 mgm diclofenac and the control Group (II) patch is not administered.Result and ConclusionQuality of analgesia in the two groups compared by duration of post operative analgesia provided, VAS scoring and the mean dose of rescue analgesic needed. Standard deviation being 1 and 0.2 respectively for Group I and Group II patients. Group I patients mean duration of analgesia being 4.5 hrs and 0.7 hrs respectively. Mean VAS score and mean dose of the rescue analgesic shows from the study that transdermal patch is a comparably good analgesic than control patients. More than this study group peritoneum being a highly painful structure, being breached compared to musculoskeletal structures may be the reason for lesser duration of analgesia for the patch when compared to other clinical conditions.
Authors and Affiliations
Dr Rajeev DS, Dr Sanjay Sahadevan
Keywords
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- EP ID EP377317
- DOI 10.9790/0853-1707060106.
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