Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
149
Views
27
Downloads
Oral Paracetamol Based Post‐Operative Analgesia in Adult Off Pump Coronary Artery Bupass Grafting Surgery Patients Post Extubation: A Safe, Effective and Low‐Cost Practice
Prasandan Thayyil, Rommy Geever, Thavamani , Ravisankar , P. Jayakumar and Madhu Shankar
Page: 285-288 | Received 02 Dec 2023, Published online: 05 Feb 2024
Full Text Reference XML File PDF File
Abstract
CABG) surgery were studied. All had Total Intravenous Anaesthesia without inhalational agents and after surgery, were shifted to Post Operative ICU for overnight ventilation as per usual hospital protocol. All patients were administered 2 suppositories of Paracetamol 250 mg at the time of sponging of body early morning next day of surgery at about 5 am while on ventilator. Extubation was done between 8.30 AM to 9 AM. All were given 650 mg paracetamol 6 hourly by mouth, starting from noon. 30 micrograms of Fentanyl was given IV whenever the patients complained of pain in spite of oral paracetamol. Effectiveness of Analgesia was assessed using NRS (Neumeric Rating Scale for pain) of 0 to 10 with 0 meaning no pain, 1 minimum pain and 10 maximum pain. Side effects if any were also noted. The mean weight was 68.4 kgs and mean age 61.4 years. 72 patients were men and 28 patients were women. The mean height was 161.6 cm. The Mean ejection fraction was 48%. Mean Duration of anesthesia was 310.4 min (Time from Induction to shifting to ICU). The mean pain score (NRS) at 12 hours(from extubation) was 3, at 24 hours was 2, at 48 hours was 1 and at 72 hours was 1. Number of Rescue doses of Fentanyl needed were 3‐6 doses in 91 patients while 9 patients needed 8 doses. Post Operative Nausea/Vomiting (PONV) was seen in 2 patients. Patients had very good analgesia and were comfortable with the technique. This simple protocol for post‐op analgesia is very easy to practice, had no major side effects and is very economical. This is like the WHO stepladder principle of analgesia for chronic pain, where the base advised is regular, by‐the‐clock oral paracetamol with the addition of other analgesic drugs later.
How to cite this article:
Prasandan Thayyil, Rommy Geever, Thavamani , Ravisankar , P. Jayakumar and Madhu Shankar. Oral Paracetamol Based Post‐Operative Analgesia in Adult Off Pump Coronary Artery Bupass Grafting Surgery Patients Post Extubation: A Safe, Effective and Low‐Cost Practice.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.285.288
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.285.288