Vol. 5, Issue 12 (2019)
Comparative assessment of analgesic efficacy of intravenous paracetamol and intravenous tramadol in cases of cesarean section
Author(s): Dr. Shailesh Prasad
Abstract: Postoperative pain relief reduces the incidence of chest infection, deep vein thrombosis, stress response and sympathetic activity. Inspite of growing advances in the pharmacological approach of pain relief during surgery, relief of pain in the postoperative period continues to remain a challenge. Adverse effects of postoperative pain are many but they can be minimized by pain therapy. Patients with significant postoperative pain may show insomnia, restlessness, anxiety and helplessness. Further this will cause respiratory, cardiovascular, gastrointestinal, urinary and metabolic complications. Hence based on above findings the present study was planned for Comparative Assessment of Analgesic Efficacy of Intravenous Paracetamol and Intravenous Tramadol in Cases of Cesarean Section. The present study was planned in Department of Anesthesia, Patna Medical College and Hospital, Patna, Bihar. The study was conducted from October 2016 to January 2017. The 40 cases of the cesarean delivery under spinal anesthesia were included in the present study. The 40 cases were divided equally in two study groups. Group I includes the 20 cases administered with the IV Paracetamol 1000 mg in 100 ml of normal saline over 15 minutes. The Group II includes the 20 cases IV Tramadol 50 mg. The data generated from the present study concludes that intravenous paracetamol with better analgesic efficacy; shorter duration of labour and fewer maternal side-effects is a better labour analgesic than tramadol. Also complicated rules and restrictions on the use of opioids and the high rate of side effects related to opioids, prescribing paracetamol in the form of intravenous infusion could be recommended as a good alternative for relieving opioid after the operation.