Pattern of Pre-Anesthetic Medications Used In Various Surgical Specialties in A Tertiary Care Hospital

Authors

  • Rosi Pradhan KIST medical college teaching hospital
  • Anil Maharjan Kist Medical College Teaching Hospital
  • Bibena Lamichhane Kist Medical College Teaching Hospital
  • Anisha Bhochhibhoya Kist Medical College Teaching Hospital
  • Uttam Laudari
  • Anjan Khadka NAIHS
  • Ashmita Bhochhibhoya
  • Parichhya Bista
  • Aditya Kumar Jha

DOI:

https://doi.org/10.61122/jkistmc287

Keywords:

Anesthesia, Pre anesthetic medication, Surgical procedures

Abstract

Introduction: Most of the surgeries done in our country under anesthesia are mostly at urban region and very low number at remote areas. Even those surgeries done under anesthesia do not receive proper premedication. Pre-anesthetic medicine has been linked to a variety of outcomes, including postoperative recovery time, the need for postoperative analgesia, and hospital stay. Yet, we have very less data regarding the patterns of use of drugs for premedication.

Methods: It is a cross-sectional descriptive study performed in the department of Anesthesiology at KIST Medical College and Teaching Hospital from 15th Feb 2022 till 14th Feb 2023, after obtaining ethical clearance from the Institutional Review Committee. The total sample size was 385 which were calculated using Cochrane formula. All the patients who belonged to American Society of Anesthesiologists (ASA) I-III undergoing elective surgical procedures and administered premedication were selected for the study only after their informed written consent.

Results: Out of 496 cases, 385 (53.8%) of patients were selected and pre-medications were recorded. The premedication used were metoclopramide 375 (97.4%), pantoprazole 375 (97.4%), paracetamol 52 (13.5%), glycopyrrolate 26 (6.75%), pregabalin 21 (5.45%), alprazolam 20 (5.19%), and lorazepam 1 (0.25%).  Types of surgeries categorizations were 59.22 % general surgery, 17.92 % Gynecological and Obstetrics, 17.14 % Orthopedic cases, 4.67 % ENT and 1.04 % dental cases.

Conclusion: The most commonly administered pre-anesthetic drugs were metoclopramide, pantoprazole, paracetamol, pregabalin, alprazolam and then lorazepam.

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Published

2024-01-31

How to Cite

1.
Pradhan R, Maharjan A, Lamichhane B, Bhochhibhoya A, Laudari U, Khadka A, Bhochhibhoya A, Bista P, Kumar Jha A. Pattern of Pre-Anesthetic Medications Used In Various Surgical Specialties in A Tertiary Care Hospital. J. KIST Med. Col [Internet]. 2024 Jan. 31 [cited 2024 May 11];6(11):38-42. Available from: https://www.jkistmc.org.np/jkistmc/index.php/JKISTMC/article/view/287

Issue

Vol. 6 No. 11 (2024): Journal of KIST Medical College

Section

Original Article

License

Copyright (c) 2024 Rosi Pradhan, Anil Maharjan, Bibena Lamichhane, Anisha Bhochhibhoya, Uttam Laudari, Anjan Khadka, Ashmita Bhochhibhoya, Parichhya Bista, Aditya Kumar Jha

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