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COMPARISON OF THE EFFECTIVENESS MORPHINE AND MgSo4 PLUS MPORPHINE FOR THE MANAGEMENT OF PAIN AFTER THE BYPASS SURGERY OF CORONARY ARTERY

Dr Saim Ali Cheema, Shameen Ashfaq, Dr Muhammad Afzaal

Objective: The aim of this study is to provide a comparison of efficacy of Morphine and MgSo4 plus Morphine in the management of pain after coronary artery bypass surgery (CABG). Methodology: This research work was carried out in Holy Family Hospital Rawalpindi. The duration of this study was from December 2018 to July 2019. SPSS V. 23.1 was in use for the analysis of the collected information. Average and standard deviations were in use for the presentation of the numerical information as visual analog scale score and Age of the patients. In the same manner, calculations of sex and status of American society of anesthesia carried out in frequencies. T-test carried out to know the importance of the visual analog scale scores. P value of less than 0.05 was the significant one. Results: A sum of total 150 patients were the part of this research work. visual analog scale score was the outcome of this research work. We observed in the research that in M group, the average visual analog scale score after 4, 12 and 24 hours of surgery were 5.24 ± 1.61, 5.8 ± 2.27 and 5.44 ± 2.27 correspondingly. In the MM group, the average visual analog scale score after 4, 12 and 24 hours of surgery were 4.36 ± 2.58, 3.48 ± 2.1 and 4.12 ± 1.05 correspondingly. The findings showed that there was an important disparity in the visual analog scale scores among both groups, the group M was present with high visual analog scale score in comparison with the visual analog scale scores of group MM. Conclusion: The effectiveness of the Morphine plus MgSo4 was much better in comparison to the Morphine for the management of pain after the coronary artery bypass surgery. Keywords: Coronary Artery Bypass Surgery, Effectiveness, Morphine, Analgesia, Visual Analog Scale, MgSo4.