Comparison of patient controlled versus continuous sufentanil addition under continuous pinal or epidural bupivacaine anesthesia in patients undergoing lower extremity fracture operations
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
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<0.05, p<0.001) and Group II (p<0.05, p<0.001). The maxium level of sensory block was T6. The cases of reached T6 were higher in Group II than Group I (p<0.05) and Group IV (p<0.05). Sensory block was fast in Group III than Goup I (p<0.001) and Group II (p<0.001), in Group IV than Group I (p<0.001) and Group II (p<0.001). Sufentanil infusion enhanced fast and higher sensory block in Group II, but did not effect in spinal groups (p<0.001). Patients did not consume sufentanil in the patient-controlled groups (Group I, III) intraoperatively. Sufentanil consumption was higher in Group II than other groups (p=0.001), in Group IV than Groups I and III (p=0.001). Postoperative sufentanil consumption at 24, 48 and 72h, were higer in patient-controlled groups (Group I and III) than infusion groups (Group II and IV) (p<0.001) and higer in epidural groups (Group I and II) than spinal groups (Group III and IV) (p<0.001). Sedation scores were higer in Group II than Group I at 60, 120th min, 4th h, postoperatively (p<0.001, p<0.05). Conclusion: Intraoperative sufentanil infusion with epidural and spinal catheter, decreased postoperative sufentanil consumption compared with patient controlled tecnique in patients undergoing lower extremity operations.
Açıklama
Anahtar Kelimeler
Analgesia; Epidural; Patient-Controlled Analgesia; Spinal; Sufentanil
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
36
Sayı
5
