A STUDY TO EVALUATE THE PATTERN OF PRE ANAESTHETIC MEDICATION IN VARIOUS SURGICAL SPECIALTIES IN A TERTIARY CARE HOSPITAL

Objective: To analyse and compare pattern of pre anaesthetic medication use in various surgical specialties.

Methodology: Data was collected retrospectively from inpatient records of major surgeries in the Department of Surgery, Orthopaedics, Neurosurgery, Paediatric Surgery, Obstetrics and Gynaecology, Plastic surgery, Urology and Vascular Surgery at M.S. Ramaiah Hospitals, during the period of January 2012 to June 2012. Descriptive analysis was used to analyse the data .SPSS version 19 was used for analysis of data.

Results: 752 pre anaesthetic records were analysed, the most frequently used pre anaesthetic medications, in the order of frequency among antianxiety drug is alprazolam (15.6%),followed by midazolam (7.6%),among opioid analgesics fentanyl (5.9%) followed by sufentanyl (0.1%),among antiemetic drugs  ondansetron (57.3%),followed by ramosetron (22.8%) and metoclopromide (18.8%) , among gastro protective  pantoprazole (74.6%),followed by ranitidine (11.9%), rabeprazole (8.3%),esomeprazole (2.9%) and glycopyrrolate was the only anticholinergic used .

Conclusion: Our study gives an insight into the current practice pattern of anaesthetists for pre medication in various surgical specialties in a tertiary care hospital. . It also points out areas of potential drug interactions and the need for a practice protocol for the choice of pre anaesthetic medications, its dosing and timing of administration.