Comparison of epidural or intravenous patient-controlled analgesia at thoracotomy
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: In this study, we aimed to compare the efficacy and side- effect profiles of morfine in terms of epidural or intravenous patient-controlled analgesia in the pain treatment after thoracotomy. Material and Methods: Forty patients were included in our prospective randomized study. Cases were divided into two groups as thoracic epidural morphine (TEM) or intravenous morphine (IM)each containing 20 patiens. Morphine (0.5 mg) was given through epidural catheter as a preemptive dose before anesthesia induction in the TEM group. Patient-controlled analgesia (PCA) was performed for postoperative thoracotomy pain treatment. Visual Analogue Scale (VAS) was applied at 0., 4., 16. and 24. hours in the postoperative intensive care unit. Side effects were also recorded. Results: Intergroup comparisons of TEM group at baseline (p<0.025) and at 4th hours (p<0.009) found a statistically significant decrease in VAS scores. Intra-group comparisons in both groups, VAS scores showed a significant decrease at all timepoints after the 4th hour. There were no significantly differences between the groups as for the requirement of PCA, total amount of analgesic and the amount of additional analgesics. Decrease in heart rate in both groups after the 4th hour, relative to baseline values was considered to be significant. No difference was found between groups in terms of complications. Conclusion: Thoracic epidural or intravenous analgesia methods can be used for postthoracotomy pain treatment, but more effective results can be achieved with epidural analgesia applied within the postoperative first few hours.
Açıklama
Anahtar Kelimeler
Epidural Analgesia; Intravenous Morphine; Patient-Controlled Analgesia; Thoracotomy, Morphine; Article; Clinical Article; Comparative Study; Controlled Study; Epidural Anesthesia; Heart Rate; Human; Intensive Care; Intravenous Anesthesia; Patient Controlled Analgesia; Postoperative Period; Prospective Study; Randomized Controlled Trial; Side Effect; Thoracotomy; Visual Analog Scale
Kaynak
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
19
Sayı
1
