Bupivakain, fibrin yapıştırıcı ve deksametazon'un tonsillektomi sonrası oluşan ağrıya etkisi

Amaç: Adenotoksillektomi yapılan çocuklarda boğaz ağrısının giderilmesinde lokal uygulanan bupivakain, fibrin yapıştırıcı ve deksametazonun etkinliğinin araştırılması. Yöntem: Genel anestezi altında adenotonsillektomi ameliyatı yapılan 5-13 yaş arası 52 erkek ve 48 kız çalışmaya dahil edilmiştir. Postoperatif ağrıyı ölçmede VAS (Visual Analog Scala)'dan faydalanılmıştır. Hastalar kontrol grubu, fibrin yapıştırıcı grubu, bupivakain grubu ve deksametazon grubu olmak üzere 4 gruba ayrılmıştır. Postoperatif dönemde tüm hastalara analjezik olarak asetaminofen 30-50 mg/kg/gün verilmiştir. Bulgular: Fibrin yapıştırıcı, bupivakain ve deksametazonun ameliyat sonrası ağrıyı azaltmakta etken olduğu ancak birinin diğerine üstünlüğü olmadığı izlenmiştir. Sonuç: Fibrin yapıştırıcı, bupivakain ve deksametazonun ameliyat sonrası analjezide benzer etkinliğe sahiptir.

Anahtar Kelimeler:

Bupivakain, Deksametazon, Ağrı, ameliyat sonrası, Tonsillektomi, Fibrin doku yapıştırıcı

The effects of bupivacaine, fibrin glue and dexamethasone on post-tonsillectomy pain

Aim: The effects of bupivacaine, fibrin glue and dexamethazone on post-tonsillectomy pain is investigated. Methods: 52 boys and 48 girls, aged between 5 and 13 years are included to the study. In the evaluation of post-operative pain, VAS (Visual Analog Scala) is used. Patients are divided into 4; control, fibrin glue, bupivacaine and dexametazone groups. In the post-operative period, all the children take Asetaminophene, 30-50 mg/kg/day as an analgesic. Results: As a result, fibrin glue, bupivacaine ve dexamethazone are found to be effective in relieving post-tonsillectomy pain. None of them is more effective over the others. Conclusion: Fibrin glue bupivacaine and dexamethazone have similar effectiveness for postoperative analgesia in tonsillectomy operations.

Keywords:

Bupivacaine, Dexamethasone, Pain, Postoperative, Tonsillectomy, Fibrin Tissue Adhesive,

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