Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study
Aim: Managing postoperative pain following maxillofacial surgery is an important task. Our study aims to compare this with regional anesthesia or IM diclofenac. Materials and Methods: This study included 30 patients who underwent bi-jaw orthognathic surgery between April 2016 and January 2020. Two g...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
| Subjects: | |
| Online Access: | http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=5;spage=473;epage=475;aulast=Raj |
| _version_ | 1818891967074926592 |
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| author | Ankita Raj Priyanka Unnam Richa Kumari Shraddha Joshi Bhushan Thoke Shilpa Sunil Khanna |
| author_facet | Ankita Raj Priyanka Unnam Richa Kumari Shraddha Joshi Bhushan Thoke Shilpa Sunil Khanna |
| author_sort | Ankita Raj |
| collection | DOAJ |
| description | Aim: Managing postoperative pain following maxillofacial surgery is an important task. Our study aims to compare this with regional anesthesia or IM diclofenac. Materials and Methods: This study included 30 patients who underwent bi-jaw orthognathic surgery between April 2016 and January 2020. Two groups were formed. Group A was administered inferior alveolar nerve block at the surgical site bilaterally using 0.5% ropivacaine and Group B were administered 75 mg intramuscular diclofenac just before extubation. Tramadol HCl 2 mg/kg body wt is used as a rescue analgesic. The pain was evaluated periodically at 2nd, 4th, 6th, and 12 h postoperatively. Results: The mean Visual Analog Scale score was 2 in Group A and 5 in Group B. The mean duration of analgesia was 6 h 42 min, whereas in Group B, it was 8 h and 5 min. In 2 patients (13.3%) belonging to Group A and 3 patients (20%) belonging to Group B. There were no local complications in any group. Conclusion: It was observed that regional anesthesia in the form of intraoral nerve blocks was efficient than diclofenac (75 mg) administered intramuscularly for the management of immediate postoperative pain. |
| first_indexed | 2024-12-19T17:49:13Z |
| format | Article |
| id | doaj.art-c11db318db2a45bb858d8ae91fadaef8 |
| institution | Directory Open Access Journal |
| issn | 0975-7406 |
| language | English |
| last_indexed | 2024-12-19T17:49:13Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj.art-c11db318db2a45bb858d8ae91fadaef82022-12-21T20:11:58ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0975-74062021-01-0113547347510.4103/jpbs.JPBS_666_20Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative studyAnkita RajPriyanka UnnamRicha KumariShraddha JoshiBhushan ThokeShilpa Sunil KhannaAim: Managing postoperative pain following maxillofacial surgery is an important task. Our study aims to compare this with regional anesthesia or IM diclofenac. Materials and Methods: This study included 30 patients who underwent bi-jaw orthognathic surgery between April 2016 and January 2020. Two groups were formed. Group A was administered inferior alveolar nerve block at the surgical site bilaterally using 0.5% ropivacaine and Group B were administered 75 mg intramuscular diclofenac just before extubation. Tramadol HCl 2 mg/kg body wt is used as a rescue analgesic. The pain was evaluated periodically at 2nd, 4th, 6th, and 12 h postoperatively. Results: The mean Visual Analog Scale score was 2 in Group A and 5 in Group B. The mean duration of analgesia was 6 h 42 min, whereas in Group B, it was 8 h and 5 min. In 2 patients (13.3%) belonging to Group A and 3 patients (20%) belonging to Group B. There were no local complications in any group. Conclusion: It was observed that regional anesthesia in the form of intraoral nerve blocks was efficient than diclofenac (75 mg) administered intramuscularly for the management of immediate postoperative pain.http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=5;spage=473;epage=475;aulast=Rajoral and maxillofacial surgerypostoperative painregional anesthesia |
| spellingShingle | Ankita Raj Priyanka Unnam Richa Kumari Shraddha Joshi Bhushan Thoke Shilpa Sunil Khanna Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study Journal of Pharmacy and Bioallied Sciences oral and maxillofacial surgery postoperative pain regional anesthesia |
| title | Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study |
| title_full | Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study |
| title_fullStr | Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study |
| title_full_unstemmed | Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study |
| title_short | Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study |
| title_sort | evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain a comparative study |
| topic | oral and maxillofacial surgery postoperative pain regional anesthesia |
| url | http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=5;spage=473;epage=475;aulast=Raj |
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