Tapas Kumar Rout, Pratyush Ranjan Samantaray, Jagannath Subudhi, Saroj Panda
BACKGROUND This is a prospective, descriptive study. The objectives of this study were- 1) to gain comprehensive Knowledge of patient pain experiences and 2) to formulate strategy for effective and optimal pain management. MATERIALS AND METHODS This is a prospective, descriptive study of post-operative pain management of patients undergoing major elective surgeries at the department of General Surgery, M.K.C.G. Medical College & Hospital, Berhampur, during period June 2016 - May 2018, using VAS and Ramsay’s sedation score at 1, 3, 6, 12, 24, 48, 72 hours. In this study, four analgesic modalities (NSAID + Sedative, IV Opioid, Epidural Opioid, Multimodal) were used. RESULTS In the present study, multimodal analgesic regimen with different classes of analgesics offered the best possible analgesia with fewer complications. CONCLUSION In this study, it was found that a multimodal regimen consisting of wound infiltration with Bupivacaine + IV Tramadol + Diclofenac Sodium IM could give good sustained post-operative analgesia with fewer complications and with best patient satisfaction.
