Title: Utilization Pattern of Drugs in Neurosurgical Anaesthesia in a Tertiary Care Hospital in South Kerala
Authors: Dr Rejanigandha, Dr Resmi Douglas
DOI: https://dx.doi.org/10.18535/jmscr/v6i2.147
Abstract
Objective: To analyse the pattern of use of anaesthetic drugs in patients undergoing neurosurgical procedures
Methodology: Data was collected retrospectively from case records of patients who underwent surgery in the Department of neurosurgery during the period January 1,2017 to January30,2017.
Data analysis was performed using SPSS Ver22.
Results: A total of 41 case records were analysed. The major indications of surgery were fracture [19.5%], cranioplasty [26.8%], tumour [24.4%], laminectomy [14.6%] and others include aneurysm clipping and VP shunt. Midazolam was the anxiolytic prescribed for all patients. Among the preoperative opioids, Fentanyl [70.7%] was the commonest followed by Morphine [22%] and Pethidine [7.3%]. All patients received Ondansetron as antiemetic and Glycopyrrolate as anticholinergic agent. Three patients received Dexmeditomedine infusion. Dexamethasone was given intravenously to relieve oedema in all patients. Thiopentone sodium along with Propofol in 92.7%, Thiopentone alone in 2.4% and Propofol alone in 4.9% were the inducing agents. General anaesthesia was maintained with Nitrous oxide, Oxygen and Isoflurane. Paracetamol intravenous infusion was given in 63.4% patients for postoperative pain relief while the rest were given Diclofenac injection intramuscularly.
Conclusion: Our study throws light into the current practice of anaesthetic medications in neurosurgery department of a tertiary care hospital. It also points out the areas of potential drug interactions.
Keywords: anaesthetic medication, neurosurgery, utilization pattern.
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