Comparison of epidural or intravenous patient-controlled analgesia at thoracotomy

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dc.authorscopusid6506587486
dc.authorscopusid39661007700
dc.authorscopusid7801349901
dc.authorscopusid19834618600
dc.authorscopusid55576372300
dc.authorscopusid51663339900
dc.contributor.authorSa?iro?lu G.
dc.contributor.authorÇopuro?lu E.
dc.contributor.authorMeydan B.
dc.contributor.authorErtürk S.
dc.contributor.authorDemir M.
dc.contributor.authorKüpeli M.
dc.date.accessioned2024-06-12T10:26:28Z
dc.date.available2024-06-12T10:26:28Z
dc.date.issued2013
dc.description.abstractObjective: 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.en_US
dc.identifier.doi10.5222/GKDAD.2013.010
dc.identifier.endpage15en_US
dc.identifier.issn1305-5550
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84877093009en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage10en_US
dc.identifier.urihttps://doi.org/10.5222/GKDAD.2013.010
dc.identifier.urihttps://hdl.handle.net/20.500.14551/16861
dc.identifier.volume19en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofGogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural Analgesia; Intravenous Morphine; Patient-Controlled Analgesia; Thoracotomyen_US
dc.subjectMorphine; 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 Scaleen_US
dc.titleComparison of epidural or intravenous patient-controlled analgesia at thoracotomyen_US
dc.title.alternativeTorakotomi analjezisinde epidural veya i?ntravenöz hasta kontrollü analjezi yöntemlerinin karşilaştirilmasien_US
dc.typeArticleen_US

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