Auditing Analgesic Use in Post-operative Setting in a Teaching Hospital
Introduction: Managing postoperative pain efficiently is one important therapeutic challenge in the hospitals. Combination use of analgesics is in vogue, where in drugs from the opioid and non-opioid group are given synergistically. The aim of this study is to audit the use of different analgesi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5734/11098_CE(RA1)_F(T)_PF1(NJAK)_PFA(NC)_PF2(PAG).pdf |
| Summary: | Introduction: Managing postoperative pain efficiently is one
important therapeutic challenge in the hospitals. Combination
use of analgesics is in vogue, where in drugs from the opioid
and non-opioid group are given synergistically. The aim of this
study is to audit the use of different analgesics on the first
postoperative day. Effort has been made to look into the drug or
drug combinations used and other factors associated with their
use.
Materials and Methods: Retrospective, cross sectional observational study was conducted over a period of 11 months in a
tertiary care teaching hospital at Hyderabad with approval from
institutional ethics committee. Medical records of 649 patients
on the first postoperative day were analysed for analgesics by
various indicators.
Results: Average number of drugs per encounter was 4.23.
Percentage of patients prescribed drugs from national essential drug list/WHO was 81.94%. Most common analgesic
(monotherapy) prescribed was tramadol followed by diclofenac
and the most common combination drugs prescribed were
tramadol+Paracetamol. The most common route of administration
was intravenous. All the drugs except piroxicam, were in the
lower limit of the recommended daily dose.
Conclusion: The present study gives an idea of the overall
pattern of analgesic drug use in postoperative patients. The
drug combinations used, the most common single use drug can
be made out. The health professionals can be encouraged to
prescribe by generic name and from the National List of Essential
Medicines NLEMs. |
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| ISSN: | 2249-782X 0973-709X |