2018 Volume 9 Issue 2 Special Issue
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Analgesic Utilization Pattern in Department of Surgery, Esic-Pgimsr & Model Hospital, Rajajinegar, Bangalore, India


Farhad Marghoubi *, Malini muraleedharan Nair, N S Kodandaram
Abstract

Objective: This study aims to analyze the utilization pattern of analgesics in the department of surgery, ESIC-PGIMSR & Model Hospital, Rajajinegar, Bangalore. Methodology: This was a prospective observational study, carried out over a period of 6 months, Patients admitted under the department of surgery was enrolled using inclusion and exclusion criteria by taking / obtaining their consent. The well designed / structured data collection forms were prepared and used. The data required for the study was collected from patient case sheet & by interacting with the care givers into the data collection form. Result:  The study was conducted in the in-patient wards of the department of surgery at ESIC-PGIMSR & model hospital, Rajajinagar, Bengaluru. Majority of the patients was male. The study showed that majority of patients belonged to the age group (33-45, 27.2%). Mean age of population was 45 years old. For the pain management of post-operative patients in the department of surgery four analgesics i.e. paracetamol, tramadol, diclofenac and Mefenamic acid were prescribed. The result of the study shows that paracetamol and tramadol (NON-NSAID) were the most commonly prescribed analgesics, it may be due to its lesser side effects and their effectiveness when compared to others. Majority of analgesics were prescribed, using brand name, the prescription of medications in brand name could be change to nonexclusive name, additionally this assumes a significant role in rational use of medication (proper dispensing of drugs, cost, safety and efficacy). The most widely recognized route of organization was intravenous. Conclusion: The utilization of analgesics basically relies on the severity of pain. In mild pain, single analgesics are ordinarily utilized while at least analgesics are utilized in moderate or severe pain. Paracetamol (8.9%) and diclofenac (6.1%) alone and combination of paracetamol with tramadol (44.2%) are the most common practice in various surgical wards of our hospital. In this study the most common procedures were general surgical procedures like appendectomy (17.7%) and majority of patients were given subarachnoid anesthesia (74.1%), paracetamol (67.34%) was the most common analgesic which was prescribed for patients who were given subarachnoid anesthesia.


Issue 2 Volume 16 - 2025