Laminektomi operasyonu olan ileri yaş hastalarda genel anestezi ile spinal anestezinin postoperatif ağrı ve analjezik tüketimi üzerine etkileri: Retrospektif deneyimlerimiz

Amaç: Lumbar laminektomi cerrahisi uygulanan hastalarda genel anesteziye (GA) göre spinal anestezide (SA), perioperatif daha stabil hemodinami, daha düşük maliyet ve daha az perioperatif komplikasyon oranı bildirilmiştir. Amacımız bu operasyonu geçirmiş ileri yaş hastalarda SA ve GA'nın ağrı skalası ve tradomol tüketimi üzerindeki etkilerini gözlemlemektir Yöntemler: Retrospektif olarak planlanan çalışmada, 01.01.2017 ile 31.12.2017 tarihleri arasında tek seviye lumbar laminektomi cerrahisi geçiren ASA I-II-III fiziksel durumda ileri yaş (>65 yaş) 121 hasta çalışmaya dahil edildi. SA uygulanan hastalar grup S (n= 62), GA uygulanan hastalar grup G (n=59) ye dahil edildi. Ameliyattan sonraki 24 saat süresince postoperatif mobilizasyon süreleri, komplikasyonlar, visuel analog skala (VAS) ve postoperatif Tradomol HCL tüketimi dosya kayıtları incelenerek kaydedildi. Bulgular ve Tartışma: Ortalama VAS gruplar arasında benzerdi (p> 0.05). Toplam Tramadol HCL tüketimi, S ve G grupları için 120.96 mg ve 213.55 mg (p

The effect of general anesthesia and spinal anesthesia on postoperative pain and analgesic consumption in elderly patients with laminectomy operation: Our retrospective experiences

Objective: More stable perioperative hemodynamic conditions, lower costs and a lower perioperative complication rate were reported in patients undergoing lumbar laminectmoy surgery in spinal anesthesia (SA) compared to general anesthesia (GA). Our aim is to observe SA and GA's effects on pain scale and tradomol consumption in elderly patients who have undergone this surgery. Methods: Retrospectively, the study included 121 patients (> 65 years of age) in total ASA I-II-III physical condition who underwent single-level lumber laminectomy surgery between 01.01.2017 and 31.12.2017. Group S (n = 62) evaluating SA was included in G (n = 59) group of patients with GA. Complications, visual analogue scale (VAS) and postoperative Trapcol HCL consumption file recordings were tested 24 hours after the operation. Results and Discussion: The mean VAS were similar among groups (p>0.05). The cumulative Tramadol HCL consumption was 120.96 mg and 213.55 mg (p

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