AI Summary & Key Takeaways
AI InsightConclusion: Starting epidural analgesia preoperatively was more effective than postoperatively to decrease POI duration.
📌 3 Key Takeaways
Abstract
Objectives: The affects of epidural local anesthetic infusion timing on POI with ropivacaine(%0.2) were investigated Materials and Methods: High lumbar epidural catheters were placed to patients who had TAH operation (ASA I-III). Group PE (n=15) received epidural ropivacaine infusion 30 minutes before the operation, Group PO (n=15) received just before the operation ended. Time to first bowel sound activity, time to first flatus(TFF) and stool(TFS), cramp or swollen feeling in stomach, time to first oral feeding(TFOF), incidents of noisea-vomitting and need for antiemetics were assessed. Postoperative analgesia was evaluated via 10 points VAS. Results: Activation of bowel sound observed more in Group PE between 0-12 hours(p0.05). TFF, TFS and first solid food intake(SFI) was significantly shorter in Group PE (TFF: 20.25±8.6 vs 31.1±9.18 p=0.009; TFS: 38.25±18.7O vs 52.33±14.8O p=0.01;SFI:24.58±5.59vs39.33±14.26p=0,002). Conclusion: Starting epidural analgesia preoperatively was more effective than postoperatively to decrease POI duration.
Özet
Amaç: Epidural lokal anestetik infuzyon başlama zamanının POI üzerine etkileri ropivakain (%0.2) kullanarak araştırıldı. Materyal ve Metod: TAH operasyonu uygulanan ASA I-III hastalara yüksek lumbar epidural kateter yerleştirildi. Grup PE' ye (n=15) operasyondan 30 dk önce, Grup PO'ya (n=15) operasyon bitiminde epidural ropivakain infüzyonuna başlandı. Barsak seslerinin duyulma zamanı, ilk gaz-gaita çıkarma süresi, mide krampı-şişkinlik hissi olup-olmadığı, ilk enteral beslenmeye geçiş zamanı, bulantı-kusma insidansı ve antiemetik gereksinimi olup-olmadığı değerlendirildi. Operasyon sonrası analjezi; 10 puanlı VAS ile değerlendirildi. Bulgular: Grup PE'de O.-12.saatlerde barsak sesleri aktivasyonu daha fazla sayıda hastada saptandı (p