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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2009 / Cilt: 37 - Sayı: 1

Comparing levobupivacaine and levobupivacaine sufentanil combination for postoperative pain with epidural patient controlled analgesia on thoracotomy

Torakotomi ağrısı tedavisinde epidural hasta kontrollü analjezi yöntemi ile uygulanan levobupivakain ile levobupivakain+sufentanil kombinasyonunun karşılaştırılması

Sezai ÖZKAN
Rauf GÖRÜR
Güner DAĞLI
Kamer DERE
Erol GÖRGEN
Ertan TEKSÖZ
Hüseyin ŞEN
Pages
35–41
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

VAS scores (at rest and with coughing) was statistically significant higher in Group I than Group II (p

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Objective & Hypothesis:Background: We aimed to compare effects of levobupivacaine and levobupivacaine sufentanil combination on postoperative pain and hemodinamic parameters after thoracotomy using patient controlled anesthesia (PCA) via epidural catheter.Material and Method: A solution of 60 mL 0.9 % NaCl and 40 mL levobupivacaine was prepared for Group I (n=23) and 54 mL 0.9 % NaCl, 40 mL levobupivacaine and 6 mL sufentanil for Group II (n=24).
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Key Findings & Data:Loading dose 5 mL, continue 5 mL, bolus 2 mL, lockout 30 min prepared.
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Conclusion & Impact:VAS scores (at rest and with coughing) was statistically significant higher in Group I than Group II (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background: We aimed to compare effects of levobupivacaine and levobupivacaine sufentanil combination on postoperative pain and hemodinamic parameters after thoracotomy using patient controlled anesthesia (PCA) via epidural catheter.Material and Method: A solution of 60 mL 0.9 % NaCl and 40 mL levobupivacaine was prepared for Group I (n=23) and 54 mL 0.9 % NaCl, 40 mL levobupivacaine and 6 mL sufentanil for Group II (n=24). Loading dose 5 mL, continue 5 mL, bolus 2 mL, lockout 30 min prepared. Intraoperative and postoperative heart rate, mean blood pressure and oxygen saturation was noted. Postoperative Visual Analog Scale (VAS) scores (at rest and with coughing) and Ramsey scores values were evaluated at 2, 4, 8, 12, 16, 20 and 24 hours. If there was additional analgesic requirement meperidine was used.Results: There was no statistical significant difference between intraoperative and postoperative heart rate, mean blood pressure and oxygen saturation values. VAS scores (at rest and with coughing) was statistically significant higher in Group I than Group II (p

Özet

Amaç: Torakotomilerde postoperatif ağrı için epidural hasta kontrollü analjezi (HKA) ile levobupivakain ile levobupivakain+sufentanil kombinasyonunun postoperatif ağrı ve hemodinami üzerindeki etkilerinin karşılaştırılmasını amaçlandı. Gereç ve Yöntem: Grup I (n=23) 60 mL % 0,9 NaCl ve 40 mL levobupivakain, Grup II (n=24) 54 mL % 0,9 NaCl, 40 mL levobupivakain ve 6 mL sufentanil hazırlandı. Yükleme dozu 5 mL, bazal hız 5 mL, bolus 2 mL ve kilitli kalma süresi 30 dk. olarak ayarlandı. Kalp atım hızı, ortalama arter basıncı ve periferik oksijen satürasyonu intraoperatif ve postoperatif kaydedildi. Olguların postoperatif 2, 4, 8, 12, 16, 20 ve 24. saatlerde Visual Analog Skala (VAS) skorları (istirahat ve öksürükle) ile Ramsey sedasyon skoru değerleri kaydedildi. Yetersiz analjezi durumunda meperidin ek olarak uygulandıBulgular: İntraoperatif ve postoperatif kalp atım hızı, ortalama arter basıncı ve periferik oksijen satürasyonu değerleri açısından istatistiksel açıdan anlamlı bir fark saptanmadı. VAS istirahat ve öksürük değerleri Grup I’de Grup II’ye oranla anlamlı derecede yüksek bulundu (p

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Cite This Article

ÖZKAN, S., GÖRÜR, R., DAĞLI, G., DERE, K., GÖRGEN, E., TEKSÖZ, E., ŞEN, H. (2022). Comparing levobupivacaine and levobupivacaine sufentanil combination for postoperative pain with epidural patient controlled analgesia on thoracotomy. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 37 - Sayı: 1, 35–41. https://ajindex.com/articles/619934

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