ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
The Comparison Of Intrapleural, Intercostal And Preemptive Analgesia In Postthoracotomy Pain Relief
Arif YEĞİN*, Asuman ARSLAN*, Bilge KARSLI**, Ayten TRAKYA***
* Uz.Dr. Akdeniz Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon AD,
** Doç.Dr. Akdeniz Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon AD,
*** Prof.Dr. Akdeniz Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon AD, ANTALYA
Introductıon: Our purpose was to examine the effect of intrapleural analgesia, intercostal analgesia and preemptive analgesia in postthoracotomy pain. Materıal and Method: 36 ASA class II-III patients undergoing posterolateral thoracotomy were included in this study. Patients were randomly allocated into three groups. In Group I (no=12), 45mg (9mL) of bupivacaine + 50mg (1mL) of tramadol + 10 mL saline ( total volume 20 mL) was administered via intrapleural catheter. In Group II (no=12), 45mg (9mL) of bupivacaine + 50mg (1mL) of tramadol (total volume 10 mL) was administered to the intercostal nerves placed above and below of the incision. In Group III (no=12), preoperative 50 mg tramadol was given via intravenous route. Postoperative analgesia was maintained with İV PCA with a 5 mg/h basal infusion rate throughout the first 24 h. During postoperative 48 h VAS and VRS values at rest and coughing, and additional analgesic requirements of patients were recorded. Results: The VRS values at coughing were significantly higher in Group III, compared with Group I (p<0.05). In Group III, additional analgesic requirement was significantly higher than Group I (p<0.05).Conclusion: We concluded that intrapleural and intercostal analgesia in postthoracotomy pain relief is more effective than preemptive analgesia.Keywords: Thoracotomy, Pain, Postoperative, AnalgesiaTurkiye Klinikleri J Med Sci 2003, 23:141-145
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