Dilek MEMİŞ, Alparslan TURAN, Barış TÜKENMEZ, Zafer PAMUKÇU, Beyhan KARAMANLIOĞLU, Necdet SÜT

Total abdominal histerektomi ameliyatlarında insizyonel ve intraperitoneal bupivakain ve bupivakain+tramadol'ün postoperatif ağrı üzerine etkisinin karşılaştırlması

Total abdominal histerektomi (TAH) ameliyatlarında intraperitoneal ve insizyonel olarak uyguladığımız bupivakain, bupivakain+tramadol kombinasyonları incelendi. Çalışmamıza 80 olgu alındı ve standart anestezi uygulandı. Peritona % 0.5'lik 20 mL bupivakain yapılan 20 olgu Grup I, ek olarak 100 mg tramadol yapılan 20 olgu Grup II, periton, kas, fasya, cilt altı dokusuna % 0.5'lik 20 mL bupivakain yapılan 20 olgu Grup III, ek olarak 100 mg tramadol yapılan 20 olgu Grup IV olarak ayrıldı. OAB, KAH, SpO2 değerleri ve ağrı değerlendirmesi VAS ile ekstübasyondan 30 dk sonra, 2., 4., 6., 12., 24. saatlerde kaydedildi. Ağrı şiddeti 5 veya üzerinde olanlara meperidin 0.5-1 mg/kg, 3-5 olan olgulara asetaminofen 500 mg verildi, ilk analjezik gereksinim zamanı kaydedildi. KAH değerleri Grup I'de tüm zamanlarda anlamlı olarak yüksek bulundu (p

Comparison of intraperitoneal and incisional bupivacaine and bupivacaine+tramadol's effect on postoperative pain in total abdominal hysterectomy operations

We aimed to evaluate intraperitoneal and incisional bupivacaine, bupivacaine+tramadol combinations on postoperative vitale findings and pain in total abdominal hysterectomy (TAH) operations. Eighty patients were included in study and standart anaesthesia was performed. Intraperitoneally; 20 mL of% 0.5 bupivacaine was applied to 20 patients in group l, plus 100 mg tramadol to 20 patients in group II, peritonea, muscle, fascia and subcutaneouslly; 20 mL of % 0.5 bupivacaine was applied to 20 patients in group III, plus 100 mg tramadol to 20 patients in group IV. Mean arteriel pressure (MAP), heart rate (HR), SpO2 and pain evaluations with VAS were recorded after 30. minutes of extubation and at 2., 4., 6., 12., 24. hours. When pain scores were above 5, 0.5-1 mg/kg meperidine, between 3-5 500 mg acetaminophene was given to patients and first analgesic requirement times were noted. In sitting and laying position VAS values at 30. min., 2. and 4. hours were found to be high in groups I and II. Meperidine dose, in Group I (121.66±67.07) was different (p

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