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Pre-Emptive Analgesia for Reduction of Postoperative Pain

    Ali Abdul Hammed Khulood Salih Al-Ani

Iraqi Postgraduate Medical Journal, 2014, Volume 13, Issue 3, Pages 418-423

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Abstract

ABSTRACT:
BACKGROUND:
Pre-emptive analgesia is important for reduction of post operating pain in all surgical procedure including inguinal herniorraphy under, general anaesthesia.
OBJECTIVE:
To compare the effectiveness of pre-emptive analgesia for reduction of post-operative pain in inguinal herniorrhaphy under general anaesthesia.
PATIENT AND METHOD:
30 adult ASA1 male patients undergoing inguinal herniorraphy under general anaesthesia were included in randomized prospective clinical study. The patients classified into two groups. Group 1 (n=15) control group receive 20 mg Ketamin Hcl at induction of anesthesia before operation. Group 2(n=15) receive 75 mg diclofenac sodium 30 min.I.M before induction and1 microgram/Kg Fentanyl citrate at induction of anesthesia. Then 20 ml of 0.25% Bupivacaine infiltrated in tissue under abdominal sheath at surgical area after induction of general anesthesia with another 20 ml of 0.25% Bupivacain was deposited in subfascial area after skin incision and. VAS (visual analog scale) score were all recorded.
RESULT:
In control group (group1) showed mark increase in stress response to post-operative pain as evidence by high visual analogue scale and in stress response to pain as increase in heart rate and mean arterial pressure during 1st 24hr post-operative. While group II patient (study group) mark decrease in post-operative pain as evidence by low VAS and insignificant change in heart rate and mean arterial blood pressure. It shows that pre-emptive analgesia reduces severity of post-operative pain and analgesic requirement in post-operative period.
CONCLUSION:
Our result indicates that pre-emptive analgesia is effective in reduction of post-operative period.
Keywords:
    KEY WORDS emptive analgesia visual analogue scale
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(2014). Pre-Emptive Analgesia for Reduction of Postoperative Pain. Iraqi Postgraduate Medical Journal, 13(3), 418-423.
Ali Abdul Hammed; Khulood Salih Al-Ani. "Pre-Emptive Analgesia for Reduction of Postoperative Pain". Iraqi Postgraduate Medical Journal, 13, 3, 2014, 418-423.
(2014). 'Pre-Emptive Analgesia for Reduction of Postoperative Pain', Iraqi Postgraduate Medical Journal, 13(3), pp. 418-423.
Pre-Emptive Analgesia for Reduction of Postoperative Pain. Iraqi Postgraduate Medical Journal, 2014; 13(3): 418-423.
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