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CLINICAL STUDY OF PATHA-YAVINI IN THE MANAGEMENT OF POSTOPERATIVE PAIN ON ANO-RECTAL SURGERY UNDER CAUDAL BLOCK

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Author(s): Paswan Anil Kumar | Singh Ravindra Prasad | Prakash Sashi | Dutt Anil

Journal: International Journal of Research in Ayurveda and Pharmacy
ISSN 2229-3566

Volume: 2;
Issue: 6;
Start page: 1655;
Date: 2011;
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Keywords: Caudal Block | Ano-rectal surgery | Patha-Yavini | Diclofenac sodium.

ABSTRACT
Purpose: To evaluate the comparative effects of Patha-yavani (ayurvedic medicine) and diclofenac sodium on postoperative pain and pentazocine requirement as rescue analgesic in anorectal surgery under caudal block with lidnocaine 2% with adrenaline. sixty patient ASA I and II patients were randomly assigned to receive patha-yavani 2 gram with honey and tab diclofenac sodium 50 mg postoperatively in a double-blind manner in anorectal surgery under caudal analgesia with lidnocain 2%. Postoperatively patients’ pain scores were recorded on a visual analogue scale every 30 min, 1 hr, 2 hr, 3 hr,4 hr,5 hr, 8 hr, 12 hr, and 24 hrs for a period of 24 hrs.Patients received pentazocine 0.5-1mg/kg intravenously on demand. The total pentazocine consumption for each patient was recorded. Patients in the patha-yavani group had significantly higher VAS scores than patients in the diclofenac group in all time intervals and required significantly higher rescue analgesic for postoperative pain management. There was a significant difference between the two groups in the second time of patients’ analgesic demand was 6.5 hr (range 5-8 hr) in diclofenac group in comparison to 4 hr (range 2-5) in patha-yavini group (p < 0.001). The mean pentazocine consumption after surgery in the first 24 hr in the patha-yavani group (28 ± 8.6 mg) was significantly higher (P < 0.001) than in the diclofenac (12.6 ± mg).In conclusion; attenuation of postoperative pain by patha- yavani administration suggests a new alternative for pharmacological reduction of postoperative pain. Hence, patha-yavini provides pain relief of short duration after day care anorectal surgery.

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