Journal of Pharmacy And Bioallied Sciences

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 5  |  Page : 473--475

Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study


Ankita Raj1, Priyanka Unnam2, Richa Kumari3, Shraddha Joshi4, Bhushan Thoke5, Shilpa Sunil Khanna6 
1 Department of Maxillofacial Surgery, Rama Dental College, Hospital and Research Center, Kanpur, Uttar Pradesh, India
2 Department of Dental Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
3 Department of Oral and Maxillofacial Surgery, Dental Department, MGM Medical College and Hospital, Jamshedpur, Jharkhand, India
4 Department of Oral Pathology, Pacific Dental College and Research Centre, Udaipur, Rajasthan, India
5 Department of Orthodontics and Dentofacial Orthopedics, ACPM Dental College, Dhule, Maharashtra, India
6 Department of Oral and Maxillofacial Surgery, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Ankita Raj
Department of Oral and Maxillofacial Surgery, Rama Dental College, Hospital and Research Center, Lakhanpur, Kanpur, Uttar Pradesh
India

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.


How to cite this article:
Raj A, Unnam P, Kumari R, Joshi S, Thoke B, Khanna SS. Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study.J Pharm Bioall Sci 2021;13:473-475


How to cite this URL:
Raj A, Unnam P, Kumari R, Joshi S, Thoke B, Khanna SS. Evaluation of the efficacy of regional anesthesia and intramuscular diclofenac in the management of postoperative pain: A comparative study. J Pharm Bioall Sci [serial online] 2021 [cited 2021 Jul 30 ];13:473-475
Available from: https://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=5;spage=473;epage=475;aulast=Raj;type=0