Title

Post-operative pain and patient satisfaction after multimodal analgesia: Questionnaire-based chart review

Authors

Leander Pradeep James¹, Sanathraj Patlu Devaraj² & Harsh V. Salankar³,*

Affiliation

¹Department of Hepato-Pancreato-Biliary surgery, Christian Medical College, Vellore, TamilNadu, India; ²Department of Medicine, Bangalore hospital, Kengeri, Karnataka, India; ³Department of Pharmacology, N.K.P. Salve Institute of Medical Sciences & Research Centre and Lata Mangeshkar Hospital, Nagpur, India; *Corresponding author

Email

Leander Pradeep James - E-mail: drleanderpradeep@gmail.com; Phone: +91 8940496539

Sanathraj Patlu Devaraj - E-mail: drsanathraj@gmail.com; Phone: +91 8105756583

Harsh V. Salankar - E-mail: harshsalankar@gmail.com

Article Type

Research Article

Date

Received April 1, 2026; Revised April 30, 2026; Accepted April 30, 2026, Published April 30, 2026
 

Abstract

Post-operative pain remains inadequately controlled in many tertiary hospitals despite widespread adoption of multimodal analgesia protocols and real-world adherence often differs from guideline recommendations. Therefore, it is of interest to evaluate post-operative pain intensity, multimodal analgesic use and patient satisfaction among 220 adults undergoing elective surgery. Mean VAS scores peaked at 6 hours (6.3 ± 1.4) and declined significantly by 24 hours (3.1 ± 0.9) and 48 hours (1.7 ± 0.6), with triple-drug combinations producing superior pain reduction compared to dual or single-agent regimens (p < 0.05). Higher satisfaction was strongly correlated with lower pain scores (r = -0.67, p < 0.001) and delayed analgesic administration was significantly associated with breakthrough pain episodes. Thus, we show that protocol adherence and timely multimodal administration, rather than regimen presence alone, determine post-operative comfort and functional recovery.

Keywords

Post-operative pain, multimodal analgesia (MMA), pain management, patient satisfaction, perioperative care, chart review, tertiary hospital study

Citation

James et al. Bioinformation 22(4): 1954-1958 (2026)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.