title: Intraoperative analgesia for day-care surgery: practice trends.
abstract: Our objective was to determine the trends of providing intraoperative analgesia for day-care surgery among the various anaesthesiologists at our university hospital. All patients having surgical procedures under general anaesthesia in the Surgical Day Care Unit (SDC) of the Hospital were included. The study was done over two months and 142 patients were enrolled during the study period. Of these 45% received pethidine for intraoperative analgesia, 24% pethidine and ketorolac, 6% pethidine and paracetamol suppositories, 18% received fentanyl, 2% tramadol and 5% received other analgesic combinations. Of the 22% patients who received pethidine intraoperatively needed rescue analgesia in recovery room, while 12% of those receiving a combination of pethidine and ketorolac needed rescue analgesia. Pethidine was found to be the most commonly used analgesic agent while a combination of pethidine and ketorolac was found to provide a superior quality of analgesia with a lesser need of additional analgesia.
authors.affiliation: Department of Anaesthesia, Aga Khan University Hospital, Karachi.
authors.forename: Aliya
authors.initials: A
authors.lastname: Ahmed
authors.forename: Shemila
authors.initials: S
authors.lastname: Abbasi
authors.forename: Chandar
authors.initials: C
authors.lastname: Prakash
authors.forename: Subhash
authors.initials: S
authors.lastname: Chandar
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage; D000556:Ambulatory Surgical Procedures / Q000379:methods; D000698:Analgesia / Q000379:methods / Q000639:trends*; D000700:Analgesics / Q000627:therapeutic use*; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D005283:Fentanyl / Q000008:administration & dosage; D006785:Hospitals, University; D006801:Humans; D007432:Intraoperative Period; D020910:Ketorolac / Q000008:administration & dosage; D008614:Meperidine / Q000008:administration & dosage; D010146:Pain / Q000188:drug therapy; D013488:Suppositories; D014147:Tramadol / Q000008:administration & dosage
chemical_list: D000700:Analgesics; D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D013488:Suppositories; D000082:Acetaminophen; D014147:Tramadol; D008614:Meperidine; D005283:Fentanyl; D020910:Ketorolac