Anesthesia and pain management drugs used in Libyan hospitals and clinics

Ghadah Rajab Alneli

doi:10.54361/ljmr.17-14

Authors

Ghadah Rajab Alneli Department of Anesthesia Faculty of Medical Technology, Surman ,Sabratha University Libya Author

DOI:

https://doi.org/10.54361/ljmr.17-14

Keywords:

General Anesthesia, pain management, tramadol, Intravenous drugs, sedation assessment

Abstract

Background: Pain management can pose multiple challenges in the acute care setting for hospitalists and front-line prescribers. The drugs used for the relief of pain in the surgical can divided into potent and mild analgesics. Objectives: Identifying the most important analgesics used in some Libyan hospitals and health centers. Method: This study is a documentary survey and a description of the reality of the use of some narcotic drugs in Libyan hospitals. It has been conducted in seven Libyan cities (zwarah, al-jmail, Sabratha, al-zawia, Tripoli, misratah and benghazi) during the period of (2. 10. 2022 to 10. 12. 2022). The participants have been divided into two main groups (Patients and specialists group) in a total number of 115 participants (Male and Females). Results: all the participants from the 1st group (Patients group) confirmed that they have taken one of the pain management drugs as one of the treatment plan prescribed by the physicians. The statistical analysis revealed that the most common drug of the pain management was paracetamol (58%) followed by Tramadul (30%) and finally Voltarine (12%). Discussion and conclusion: Pain and its treatment are major public health issues that we face as a society today. Patients with chronic pain present a special challenge. When they have pre-existing pain and undergo an operative procedure, it becomes important to differentiate pre-existing chronic pain from new acute postoperative pain.

References

- International Association for the Study of Pain.

- Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin. 2014;30:149-160.

- Correll DJ. Perioperative pain management. In: McKean SC, et al., eds. Principles and Practice of Hospital Medicine. McGraw-Hill; 2012Principles and Practice of Hospital Medicine. McGraw-Hill; 2012

- Pozek JP, Beausang D, Baratta JL, Viscusi ER. The Acute to Chronic Pain Transition: Can Chronic Pain Be Prevented? Med Clin North Am. 2016;100:17-30.

- Kosten TR, Haile CN. Opioid-Related Disorders. In: Kasper D, Fauci A, Hauser S, Longo D, Jameson JL, Loscalzo J,eds. Harrison’s Principles of Internal Medicine,19th ed. McGraw-Hill 2015.

- Gonzales MJ, Smith GT, Rabow MW, Pantilat SZ. Pain. In: Feldman MD, Christensen JF, Satterfield JM, eds. Behavioral Medicine:A Guide for Clinical Practice. 4th ed. McGraw-Hill; 2014

- Chou R, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17(2):131-157.

- Tzortzopoulou A, McNicol ED, Cepeda MS et al Single dose intravenous propacetamol or intravenous paracetamol for postoperative pain. Cochrane Database Syst Rev 2011; 10: CD007126