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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2008 / Cilt: 36 - Sayı: 5

Comparison of patient controlled versus continuous sufentanil addition under continuous spinal or epidural bupivacaine anesthesia in patients undergoing lower extremity fracture operations

Alt ekstremite kırığı cerrahisinde epidural veya sürekli spinal anesteziye infüzyon veya hasta kontrollü yöntemle eklenen sufentanilin etkisi

Alkin ÇOLAK
Ayşin ALAGÖL
Zafer PAMUKÇU
Nesrin TURAN
Pages
283–292
Publication Date
2022-11-05
DOI
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Visuel analog scale was recorded postoperatively.Results: Motor blockade was higher in Group III and Group IV than Group I (p

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Objective & Hypothesis:Aim: In this study, we aimed to compare the anesthetic, intraoperative and postoperative haemodynamic, respiratory and postoperative analgesic effects of sufentanil which administered via infusion or patient-controlled regimen during continuous spinal or continuous epidural anesthesia.Materials and Method: Sixty patients were randomised into 4 groups to receive epidural %0.5 bupivacaine (Groups I and II) plus patient-controlled sufentanil (Group I) or, continuous sufentanil infusion (Group II) or, intrathecal %0.5 heavy bupivacaine (Groups III and IV) plus continuous sufentanil infusion (Group III) or continuous intrathecal sufentanil infusion (Group IV).
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Key Findings & Data:Heart rate, sistolic and diastolic arterial pressure, peripheric oxygen saturation, respiratory rate, sedation score, sufentanil consumption and advers effects were recorded intraoperatively and postoperatively.
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Conclusion & Impact:Visuel analog scale was recorded postoperatively.Results: Motor blockade was higher in Group III and Group IV than Group I (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: In this study, we aimed to compare the anesthetic, intraoperative and postoperative haemodynamic, respiratory and postoperative analgesic effects of sufentanil which administered via infusion or patient-controlled regimen during continuous spinal or continuous epidural anesthesia.Materials and Method: Sixty patients were randomised into 4 groups to receive epidural %0.5 bupivacaine (Groups I and II) plus patient-controlled sufentanil (Group I) or, continuous sufentanil infusion (Group II) or, intrathecal %0.5 heavy bupivacaine (Groups III and IV) plus continuous sufentanil infusion (Group III) or continuous intrathecal sufentanil infusion (Group IV). All patients received sufentanil via catheters with patient-controlled analgesia device, postoperatively. Heart rate, sistolic and diastolic arterial pressure, peripheric oxygen saturation, respiratory rate, sedation score, sufentanil consumption and advers effects were recorded intraoperatively and postoperatively. Visuel analog scale was recorded postoperatively.Results: Motor blockade was higher in Group III and Group IV than Group I (p

Özet

Amaç: Çalışmamızda, alt ekstremite kırığı operasyonlarında uygulanan rejyonal anestezide, spinal veya epidural kateterden sürekli infüzyon veya hasta kontrollü yöntemle sufentanil uygulanmasının anestezi kalitesi, intraoperatif-postoperatif hemodinami, solunum ile postoperatif analjezi üzerine etkilerinin araştırılması amaçlandı. Gereç ve Yöntem: Grup I ve II’ye % 0,5 bupivakain ile epidural anestezi uygulandı, epidural kateterden Grup I’e (n=15) hasta kontrollü yöntemle; Grup II’ye (n=15) sürekli infüzyon ile sufentanil uygulandı. Grup III ve IV’e % 0,5 bupivakain heavy ile spinal anestezi uygulandı, spinal kateterden Grup III’e (n=15) hasta kontrollü yöntemle; Grup IV’e (n=15) sürekli infüzyon ile sufentanil uygulandı. Postoperatif dönemde bütün olgulara kateterlerden hasta kontrollü sufentanil uygulandı. İntraoperatif ve postoperatif dönemde kalp tepe atımı, sistolik ve diyastolik arter basıncı, dakika solunum sayısı, periferik oksijen satürasyonu, sedasyon skoru, sufentanil kullanımı ve yan etkiler kaydedildi. Postoperatif dönemde vizuel analog skala değerleri kaydedildi.Bulgular: Motor blok düzeyleri Grup III ve Grup IV’te Grup I (p

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Cite This Article

ÇOLAK, A., ALAGÖL, A., PAMUKÇU, Z., TURAN, N. (2022). Comparison of patient controlled versus continuous sufentanil addition under continuous spinal or epidural bupivacaine anesthesia in patients undergoing lower extremity fracture operations. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 36 - Sayı: 5, 283–292. https://ajindex.com/articles/620004

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