Preemptive intraarticular tramadol for pain control after arthroscopic knee surgery
Bu çalışmada artroskopik diz cerrahisinde intraartiküler (ia) tramadol ve bupivakainin analjezik etkileri ve preemptif ia tramadolün etkinliği araştırıldı. Fakülte etik kurul onayı alındıktan sonra, 60 olgu randomize olarak 20’şer kişilik 3 gruba ayrıldı: Grup I’de operasyonun sonunda ia 20 ml % 0.25 bupivakain; Grup II’de operasyonun sonunda ia 20 ml % 0.25 bupivakain ve 100 mg tramadol hidroklorür ve Grup III’te operasyondan 30 dk önce ia 20 ml izotonik NaCl solusyonu içinde 100 mg tramadol hidroklorür ve operasyonun sonunda ia 20 ml % 0.25 bupivakain uygulandı. İlk analjezik ihtiyacı, postoperatif dönemde toplam kullanılan analjezik miktarı, postoperatif istirahat ve hareket halindeki VAS değerleri, Grup II ve III’te, Grup I’e göre anlamlı şekilde düşük, hasta memnuniyeti de anlamlı şekilde yüksek bulundu. Preemptif tramadol grubu postoperatif tramadol grubu ile karşılaştırıldığında, toplam kullanılan analjezik miktarı ve ek analjezik kullanan olguların sayısı anlamlı derecede düşük bulundu. Sonuç olarak, preemptif ia tramadol uygulamasının artroskopik diz cerrahilerinden sonra etkin ve güvenli bir analjezi sağladığı saptandı ve postoperatif uygulamaya göre tercih edilebileceği kanısına varıldı.
Anahtar Kelimeler:
Tramadol, Ameliyat sonrası dönem, Hasta memnuniyeti, Analjezi, Ağrı, ameliyat sonrası
Artroskopik diz cerrahisi sonrası ağrı kontrolünde preemptif intraartiküler tramadol
The purpose of this study was to determine the effectiveness of intraarticular (ia) bupivacaine and tramadol injection and preemptive intraarticular tramadol in providing pain control after arthroscopic knee surgery. Following local research ethics committee approval, 60 patients were assigned in a randomized manner into three groups: Group I received ia 20 ml of 0.25% bupivacaine at the end of the operation, Group II received ia 20 ml of 0.25% bupivacaine and 100 mg of tramadol at the end of the operation and Group III received ia 100 mg of tramadol diluted in 20 ml of saline solution 30 minutes before skin inscision and 20 ml of 0.25% bupivacaine at the end of the operation as well. Analgesic duration, total analgesic consumption and postoperative VAS pain scores recorded at rest and with movement were significantly lower and patient satisfaction was significantly higher in Group II and III, compared to Group I. Total analgesic consumption and the number of patients requiring supplementary analgesics were significantly lower in the preemptive tramadol group compared to the postoperative tramadol group. In conclusion, preemptive ia tramadol provided effective and reliable pain control after artroscopic knee surgeries and may be preferred to postoperative administration.
Keywords:
Tramadol, Postoperative Period, Patient Satisfaction, Analgesia, Pain, Postoperative,
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- ISSN: 1300-0012
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 2018
- Yayıncı: Ali Cangül
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Preemptive intraarticular tramadol for pain control after arthroscopic knee surgery