Comparison of intraperitoneal and incisional bupivacaine and bupivacaine+tramadol's effect on postoperative pain in total abdominal hysterectomy operations Total abdominal histerektomi ameliyatlarinda i̇nsizyonel ve i̇ntraperitoneal bupivakain ve bupivakain+tramadol'ün postoperatif aǧrn üzerine etkisinin karşilaştirilmasi
Turk Anesteziyoloji ve Reanimasyon, cilt.30, sa.6, ss.150-156, 2002 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 6
- Basım Tarihi: 2002
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.150-156
- Anahtar Kelimeler: Bupivacaine, Incislonal, Intraperitoneal, Postoperative analgesia, Total abdominal hystrectomy, Tramadol
- Trakya Üniversitesi Adresli: Evet
Özet
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 groupI, 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<0.001) when compared with groups II (57.66±30.11), III (66.86±40.55) and IV (48.21±31.72). Acetominophen doses were indifferent between groupI and II, different (p<0.001) between group I and groups III, IV and group II and III while between group II and IV there was significant difference found. As a result, local anesthetic infiltration causes early analgesia, decreases opioid consumption and addition of tramadol was found to be beneficial.