POSTOPERATİF AĞRININ KONTROLÜNDE ANALJEZİKLERİN ROLÜ

Oral cerrahi i lemlerin daha hassas, h zl , güvenli ve a0r s z yap labilmesini sa0layan geli melere ra0men oral ve maksillofasiyal cerrahlar n kar la t klar ortak problem, 100 y l önce oldu0u gibi bugün de, postoperatif a0r n n kontrolüdür. Operasyon s ras nda ve postoperatif dönemde güvenli ve etkili a0r ve endie kontrolünü sa0lamak amac yla analjezik ilaçlar kullan lmaktad r.Postoperatif a0r y kontrol edebilmek için hekim, hangi operasyondan sonra, hangi hasta grubuna, nas l bir ilaç verece0ine; bu ilac n hangi formda, dozda, s kl kta ve ne kadar süre ile kullan laca0 na karar verebilmek için ilaçlar n klinik kullan mlar hakk nda detayl bilgiye sahip olmal , yeni ç kan ilaçlar ,kullan mda olan ilaçlar hakk ndaki geli meleri takip etmeli, bu amaçla çe itli kurulu lar taraf ndan önerilen protokolleri incelemelidir

Anahtar Kelimeler:

postoperatif a0r , analjezik, NSAE

THE ROLE OF THE ANALGESICS AT THE CONTROL OF THE POSTOPERATIVE PAIN

Keywords:

-,

PDF

___

Chapman PJ. Postoperative pain control for outpatient oral surgery.Int.J.Oral Maxillofac. Surg. 1987;16:319-324.
Desjardins PJ. Patient Pain and Anxiety: The Medical and Psychologic Challenges Facing Oral and Maxillofacial Surgery. J Oral Maxillofac Surg. 2000; 58:1-3.
Dionne RA, Gordon SM. Nonsteroidal AntiInflamatory Drugs For Acute Pain Control. Dental Clinics of North America. 1994;38:645-667.
Feinmann C. Psychologival factors influencing post-operative pain and analgesic consumption. Br.J.Oral axillofac. Surg. 1987; 25: 285- 292.
Zuniga JR.Guidelines for Anxiety Control and Pain Management in Oral and Maxillofacial surgery. J Oral Maxillofac Surg. 2000;58:4-7,suppl 2.
Dionne RA. Additive analgesic effects of Oxycodone and ;buprofen in the oral surgery model. J Oral Maxillofac.Surg.1999;57:673-678.
Koerner R, Taylor SE .Pharmacologic consideratioms in the management of oral surgery patients in general dental practise. Dental Clinics of North America.1994;38:237-253.
Swift JQ.Nonsteroidal Anti-Inflamatory Drugs and Opioids: Safety and Usage Concerns in the Differential Treatment of Postoperative Orofacial Pain.2000;58:8-11.
Vallerand WP, Vallerand AH, Heft M. The effects of postoperative preparotory information on the clinical course following third molar extraction. J Oral Maxillofac. Surg.1994;52:1165-1170.
Garibaldi JA, Elder MF,.Evaluation of Ketorolac (Toradol® ) with varying amounts of codeine for postoperative extraction pain control.Int.J.Oral Maxillofac.Surg.2002;31:276-280.
Seymour RA, Ward-Booth P, Kelly PJ. Evaluation of different doses of soluable ibuprofen and ibuprofen tablets in postoperative dental pain. Br J Oral Maxillofac.Surg.1996;34:110-114.
Ziccardi VB, Desjardins PJ, Daly-Dejoy E, Seng GF.Single-Dose Vicoprofen compared with Acetaminophen with Codeine and plasebo in patients with acute postoperative pain after third molar extractions.J Oral and Maxillofac Surg. 2000; 58: 622-628.
Long DM. A0r,ça0da tan ve tedavi. 2.bask. And Yaynevi. sf:23-30.
Hepso HU, Lokken P, Bjornson J, Godal HC. Double-blind crossover study of effect of acetylsalicyclic acid on bleeding and postoperative course after bilateral oral surgery. Eur J Clin Pharmacol.1976;10:217-225(Abstract).
Özalp Dural EA. Farmalokoloji. 3.Bask.2002. Nobel Tp Kitabevleri.sf:264-305. 16. Moore PA, Hersh EV. Celecoxib and rofecoxib: The role of COX-2 inhibitors in dental practise. JADA.2001;132:451-456.
Fricke J, Morrison BW, File S, et al. MK-966 versus Naproxen sodium 550 mg in postsurgical dental pain. (Abstract) Clin Pharmacol Ther. 1999;65: 119.
Sunshine A. Control of acute and chronic pain with Flurbiprofen(summary). Am J Med.1986;vol 80,suppl 3A;153-157.
Chalmers TM, Glass RC, Risdall PC. Concentrations of Flurbiprofen in serum and synovial fluid from patients with active rheumatoid disease:some preliminary observations. Curr. Med.Res.Opin.1977;5:17-20.
Jeske AH. Selecting new drugs for dental pain control.JADA,Vol 33,August.2002;1052-1056.
Rodrigo MRC, Rosenquist JB, Cheung LK. Paracetamol and diflunisal for pain relief following third molar surgery in Hong Kong Chinese. Int. J. Oral Maxillofac.Surg.1987;16:566571.
Jackson DL, Roszkovski MT, Moore PA, Fonseca RJ.(ed).Management of acute postoperative pain in oral and Maxillofacial surgery.WB Sounders CO.2000; pp:114-140