Article:
Utilization of Pre-Anesthetic Medications for Major Surgical Procedures at a Tertiary Care Center: A Descriptive Cross-sectional Study

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorShah, Rekha
dc.contributor.authorPradhan, Roshan
dc.contributor.authorShah, Arbindra
dc.date.accessioned2026-08-13T05:44:54Z
dc.date.available2026-08-13T05:44:54Z
dc.date.issued2020
dc.descriptionRekha Shah Departmentof Pharmacology,Birat Medical College, Biratnagar, Nepal Roshan Pradhan Departmentof Anesthesiology,Birat Medical College, Biratnagar, Nepal Arbindra Shah Department of Radiology, Nobel Medical College, Biratnagar, Nepal
dc.description.abstractAbstract Introduction: Drug utilization research is an important tool to analyze the use of drugs with special emphasis on medical, social, and economic consequences in society. This study aims to find out the utilization of pre-anesthetic medications in a major surgical procedure. Methods: A descriptive cross-sectional study was conducted from 15th April - 15th August 2019 in the postoperative ward at Birat Medical College and Teaching Hospital. The convenience sampling method was used after ethical clearance from the Institutional Review Committee (IRC) of Birat Medical College and Teaching Hospital, Biratnagar, Nepal. About 400 patients were studied. The collected data were entered into a statistical package for social science version 20 for further calculations at 95% Confidence Interval. Results: Out of 400 patients, 215 (53.8%) of patients were underwent into different major surgeries. All patients received midazolam 2 mg except children (1 mg) and Pethidine 25 mg along with 0.2 mg glycopyrrolate 352 (88%), ondansetron 276 (69%) and others 58 (14.5%) as a preanesthetic agent. For general anesthesia propofol, 30 mg have been utilized followed by fentanyl 306 (76.5%) and others (halothane, isoflurane, etc) 115 (28.8%). In case of prophylactic drug were ceftriaxone 500 mg, 100 mg metoclopramide 387 (96.8%), dexamethasone 251 (62.8%), tramadol 237 (59.3%), 15 mg ketorolac 368 (92%), ranitidine 163 (40.8%), and pantoprazole 237 (59.3%). Conclusions: The most commonly administered pre-anesthetic drugs were midazolam, pethidine, glycopyrrolate, and ondansetron. The incidence of postoperative nausea and vomiting the patient within 24 hours after surgery was significantly very low. Keywords: pre-anesthetic medications; surgical procedures; utilization.
dc.identifierhttps://doi.org/10.31729/jnma.4841
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7271
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectpre-anesthetic medications
dc.subjectsurgical procedures
dc.subjectutilization
dc.titleUtilization of Pre-Anesthetic Medications for Major Surgical Procedures at a Tertiary Care Center: A Descriptive Cross-sectional Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage229
oaire.citation.startPage223
relation.isJournalIssueOfPublication39604197-9acd-4725-aa54-021b972ac436
relation.isJournalIssueOfPublication.latestForDiscovery39604197-9acd-4725-aa54-021b972ac436
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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