Journal of AdvancedMedical and Dental Sciences Research

Aim: To evaluate The Intraoperative Anaesthesia Management and Postoperative Pain Scores after Caesarean Section. Methods: All patients either receiving GA or spinal anaesthesia for CS receive IV tramadol infusion for post‑operative pain control, which is started either at the request for first analgesia in the PACU or at 60 min, whichever comes first. Patients are assessed for pain using numerical rating scale (NRS) immediately in the PACU and at regular intervals. Any patient having NRS >4 is given rescue analgesia. Results: The first assessment in the PACU was done immediately (time = 0 min) and was repeated at 30, 45 and 60 min. Percentage of patients having NRS >4 and who required rescue analgesia on immediate assessment (time zero) was 13 (13%). After that, 11 patients (11%) at 30 min, 9 (9%) patients at 45 min and 5 (5%) patients at 60 min had NRS of >4 and required first rescue analgesia. There was no statistically significant difference among patients in PACU having NRS >4 from those having NRS <4 in terms of the type of incision, ASA grading and duration of surgery. None of the patients at any time in PACU were reported to have sedation score of>2, respiratory rate of <10 or drop in saturation to <94%. Conclusion: Adequate management of post-cesarean section pain remains a challenge at hospital. We concluded that the pain management in the PACU was adequate as all patients were given rescue analgesia if they had NRS of >4 and no patient was shifted from PACU with NRS of >4.