The Effect of Diclofenac Sodium on Uncontrolled Postoperative Back Pain by IV-PCA.
10.4097/kjae.2000.39.2.202
- Author:
Jin LEE
1
;
Hee Yeob KIM
;
Woo Sun KIM
;
Huhn CHOE
Author Information
1. Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea.
- Publication Type:Original Article
- Keywords:
Analgesia: IV-PCA;
Analgesics: intramuscular diclofenac sodium;
Pain: postoperative back pain
- MeSH:
Anesthesia;
Back Pain*;
Diclofenac*;
Humans;
Injections, Intramuscular;
Pain, Postoperative
- From:Korean Journal of Anesthesiology
2000;39(2):202-205
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Although postoperative back pain has been reported to occur, as a frequent complication of anesthesia and surgery, it is usually mild and self-limited. However, we experienced cases of uncontrolled postoperative back pain in patients even after IV-PCA administration. These patients' back pain was relieved by the traditional diclofenac sodium intramuscular injection, so we evaluated the efficacy of diclofenac sodium on uncontrolled postoperative back pain by IV-PCA. METHODS: We studied 16 patients who complained of postoperative back pain even with IV-PCA for postoperative pain control. When NRS pain score was above 5, the patients were treated with a diclofenac sodium 75 mg intramuscular injection. Postoperative back pain and operation site pain was measured by NRS before and after diclofenac sodium injection. RESULTS: There was a significant decrease in the pain score of postoperative back pain after diclofenac sodium injection without a dramatic improvement of operation site pain. CONCLUSIONS: Diclofenac sodium plays a useful role in the control of acute postoperative back pain.
