EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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ISSN 2394-3211

Impact Factor: 7.065

ICV - 79.57

Abstract

PRESCRIBING PATTERN OF PERIOPERATIVE PAIN MANAGEMENT IN ORTHOPEDIC DEPARTMENT

Syeda Zuleqaunnisa Begum*, Dr. Sarita and Dr. Mohd. Akram

ABSTRACT

Pain, categorized as acute and chronic, which is an unpleasant sensory sensation related to tissue damage. Surgical pain, a common occurrence in surgical procedures, includes pre-operative, intraoperative, and post-operative phases. Effective pain management include pharmacologic, physical, and psychological approaches. The aim is to assess orthopedic perioperative pain management prescribing patterns. A prospective, observational study on 20 patients was conducted from June to July 2023, with ethical clearance and informed consent. Inclusion criteria: patients aged >18 with comorbidities undergoing surgery; Exclusion criteria: <18 years, pregnant women, and non-participants. Data on patient demographics, surgery type and pain management prescriptions were collected from inpatient case sheets. In this study of 20 patients, 60% were male, and 40% were female. Most patients were 41-60 years old and were treated for fixation (40%), arthroplasty (30%), arthrodesis (15%), arthroscopy (10%), or amputation (10%). Average hospital stay was 6-8 days. Prescriptions included antibiotics (100%) highly prescribed are cefuroxime-sulbactam (80%), PPIs (100%), and calcium supplements (100%). NSAIDs were given to 95%, antiemetics to 90%, multivitamins to 70%, and neuropathic pain medication to 65%. Anti-arrhythmic and Inj. T. T. were prescribed for 60%, proteolytic enzymes and opioids for 50%, non-opioids for 30%, laxatives for 15%, and muscle relaxants, hypnotics, and anti-platelets for 10%. Orthopedic pain management is vital for recovery. To provide better care, healthcare professionals must refine practices, stay updated, and prioritize evidence-based, patient-centered pain management. If left untreated, pain can lead to severe consequences such as depression, difficulty sleeping, and a significant change in the patient's quality of life.

Keywords: Pain, NSAIDs, Analgesic, Inflammation, Antibiotics, prescribed.

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