Evaluation of the Efficacy of Regional Anesthesia and Intramuscular Diclofenac in the Management of Postoperative Pain: A Comparative Study.

Oral and maxillofacial surgery postoperative pain regional anesthesia

Journal

Journal of pharmacy & bioallied sciences
ISSN: 0976-4879
Titre abrégé: J Pharm Bioallied Sci
Pays: India
ID NLM: 101537209

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 12 10 2020
revised: 14 10 2020
accepted: 16 10 2020
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 28 8 2021
Statut: ppublish

Résumé

Managing postoperative pain following maxillofacial surgery is an important task. Our study aims to compare this with regional anesthesia or IM diclofenac. 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 2 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. 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.

Identifiants

pubmed: 34447137
doi: 10.4103/jpbs.JPBS_666_20
pii: JPBS-13-473
pmc: PMC8375967
doi:

Types de publication

Journal Article

Langues

eng

Pagination

S473-S475

Informations de copyright

Copyright: © 2021 Journal of Pharmacy and Bioallied Sciences.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Ankita Raj (A)

Department of Maxillofacial Surgery, Rama Dental College, Hospital and Research Center, Kanpur, Uttar Pradesh, India.

Priyanka Unnam (P)

Department of Dental Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.

Richa Kumari (R)

Department of Oral and Maxillofacial Surgery, Dental Department, MGM Medical College and Hospital, Jamshedpur, Jharkhand, India.

Shraddha Joshi (S)

Department of Oral Pathology, Pacific Dental College and Research Centre, Udaipur, Rajasthan, India.

Bhushan Thoke (B)

Department of Orthodontics and Dentofacial Orthopedics, ACPM Dental College, Dhule, Maharashtra, India.

Shilpa Sunil Khanna (SS)

Department of Oral and Maxillofacial Surgery, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India.

Classifications MeSH