Işıl TURAN ÖZKOÇAK, Hilal AYOĞLU, Bülent Serhan YURTLU, Volkan HANCI, Selime Evrim BOSTANKOLU, Ahmet EGE

Aksiller blokta levobupivakaine eklenen tramadol: Randomize, prospektif, çift kör bir çalışma

Amaç: Bu randomize prospektif çift kör çalışmada aksiller pleksus bloğunda levobupivakaine tramadol eklenmesininetkilerini araştırmayı amaçladık.Yöntem ve gereç: El veya önkolda cerrahisi için aksiller pleksus bloğu planlanan 60 hasta randomize olarak iki grubaayrıldı. Grup L’de 36 mL % 0,5 levobupivakain ve 2 ml serum fi zyolojik; Grup LT’de 36 mL % 0.5 levobupivakain ve 2mL 100 mg tramadol kullanıldı. Rutin monitörizasyonu takiben aksiller blok sinir stimülatörüyle çoklu stimülasyontekniği kullanılarak uygulandı. Motor (parmak, el bileği, dirsek hareketleri) ve duyusal (kutanöz pinprik duyusu) blokkarakteristikleri radiyal, medyan, ulnar ve muskulokutanöz sinirler için her 5 dakikada değerlendirildi. Postoperatifmotor ve duyusal blok süresi, analjezik tüketimi ve nümerik ağrı skoru (NRS) kaydedildi.Bulgular: Her grupta 2’şer hastada blok başarısızlığı mevcuttu. Kalan 56 hastanın verileri analiz edildi. Çalışma gruplarıarasında dört sinirin motor ve duyusal blok karakteristikleri, analjezik tüketimleri ve NRS skorları arasında fark yoktu.Sonuç: Aksiller blokta % 0,5 levobupivakaine 100 mg tramadol eklenmesi intraoperatif blok kalitesini artırmamış vepostoperatif analjezi süresini uzatmamıştır.

Anahtar Kelimeler:

Sinir bloğu, levobupivakain, tramadol

Tramadol as an adjunct for levobupivacaine in axillary plexus blockade: a prospective, randomized, double-blind study*

To evaluate the effect of tramadol addition to levobupivacaine in axillary plexus blockade in a prospective, randomized double-blind study. Materials and methods: A total of 60 patients scheduled to undergo hand and forearm surgery under axillary plexus blockade were randomly divided into 2 groups. Group L received 36 mL of racemic 0.5% levobupivacaine with 2 mL of saline, whereas Group LT received 2 mL (100 mg) of tramadol instead of saline. After routine monitorization, axillary block was performed with a multistimulation technique using a nerve stimulator. Motor (finger, wrist, and elbow movements) and sensory (pinprick sensation for the cutaneous supply) block characteristics for radial, median, ulnar, and musculocutaneous nerves were determined every 5 min. Postoperative motor and sensory block duration, analgesic consumption, and numeric rating scale (NRS) scores were also recorded. Results: In each group, 2 patients had block failures. The data for the remaining 56 patients were analyzed. There were no significant differences between the study groups according to motor and sensory block characteristics of 4 nerves, block durations, analgesic consumption, and NRS scores. Conclusion: The addition of 100 mg of tramadol to 0.5% levobupivacaine for axillary brachial plexus blockade neither improved the intraoperative block quality nor prolonged the duration of postoperative analgesia.

Keywords:

levobupivacaine, tramadol, Nerve blockade,

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