Süleyman KÖROĞLU, SUNA AKIN TAKMAZ, ÇETİN KAYMAK, Altuğ NARLI, Kubilay KALEZLİ, Beyazıt DİKMEN

Total kalça protezinde preoperatif 3-1 bloğun postoperatif ağrı ve tramadol tüketimi üzerine etkisi

Bu çalışmada total kalça cerrahisinde preoperatif 3-1 bloğun postoperative ağrı ve hasta kontrollü analjezi ile tramadol tüketimi üzerine olan etkisi çalışıldı. Elektif total kalça protezi ameliyatı geçirecek ASA I-II grubundan 30 hasta çalışmaya dahil edildi. Hastalar rastgele 2 gruba ayrıldı; Grup I: Cerrahiden 30 dk önce 40ml-%0,25 bupivakain ile 3-1 blok yapılıp, sonrasında genel anestezi verilen hastalar, Grup II: Cerrahiden 30 dk önce blok lokalizasyonuna basit iğne ponksiyonu yapılıp genel anestezi verilen hastalar. Tüm hastalara ameliyat sonunda PCA ile iv-tramadol başlandı. Ağrı, postoperative 0,1/2,1,4,8,12,24 ve 48. saatlerde, istirahatte ve harekette, 10 cm’lik VAS skalası ile değerlendirildi. Ortalama intraoperatif fentanil tüketimi I. Grupta, II. Gruba göre daha düşüktü. VAS skorları istirahatte postoperatif 12 saat, harekette postoperatif 24 saat süresince tüm ölçüm zamanlarında, I. grupta, II. gruba göre daha düşüktü. Ancak VAS skorlarındaki fark, 4. saatten sonra klinik olarak önemsizdi. Uyanma odası ağrı skorları istirahatte ve harekette, I. Grupta II. Gruba göre 3 kat daha azdı (p=0.0001). Total tramadol tüketimi I. Grupta (633.0±119.3 mg), II. Gruba (991.1±41.0 mg) göre daha düşüktü. Hasta memnuniyet skorları I. Grupta, II. Gruba göre yüksekti. Sonuç olarak, elektif TKP ameliyatlarında, 40 ml-%0,25 bupivakain ile preoperatif 3-1 blok uygulamasının, yan etki sıklığını artırmaksızın intraoperatif ve postoperatif analjezik tüketimini azaltarak, efektif postoperatif analjezi oluşturduğu kanaatine varıldı.

Anahtar Kelimeler:

Tramadol, Artroplasti, replasman, kalça, Preoperatif bakım, Ameliyat öncesi dönem, Ağrı, ameliyat sonrası

The preoperative analgesic effect of 3-in-1 block on postoperative pain and tramadol consumption in total hip arthroplasty

We studied the effect of preoperative 3-in-1 block for total hip replacement surgery on postoperative pain and tramadol consumption during patient-controlled analgesia. Thirty ASA I-II patients undergoing elective total hip arthroplasty (THA) were included in the study. Patients were randomly divided into 2 groups; Group I: Patients who received 3-in-1 block with 40 ml of 0.25% bupivacaine 30-minutes before surgery and later received general anesthesia, Group II: Patients who received only a simple needle puncture at the operation site 30-minutes before surgery and later received general anesthesia. All patients received intravenous tramadol at the end of surgery via a PCA device. Pain was evaluated at 0,1/2,1,4,8,12,24 and 48h at rest and on movement of the hip, using a 10cm VAS. The average intraoperative fentanyl consumption was lower in Group I than in Group II. VAS scores were significantly lower in group I, both at rest and during movement at all timepoints over in the first postoperative 12h and also during movement 24h postoperatively. However differences in VAS scores weren’t clinically significant after 4 hours. In the recovery room, Group I VAS scores were only a third of Group II, both at rest and movement (p=0.0001). Total tramadol consumption was lower in GroupI (633.0±119.3 mg) than in GroupII (991.1±41.0 mg). Patient satisfaction scores were higher in GroupI than in GroupII. We concluded that preoperative 3-in-1 block with 40 ml-0,25% bupivacaine provides effective postoperative pain relief for elective THA, reducing intra-and postoperative analgesic consumption without increase in side effects.

Keywords:

Tramadol, Arthroplasty, Replacement, Hip, Preoperative Care, Preoperative Period, Pain, Postoperative,

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