The effects of general anesthesia and thorasic epidural analgesia in patients undergoing major abdominal surgery on hemodynamics, recovery and postoperative analgesia
Küçük Resim Yok
Tarih
2009
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: The aim of this study is to investigate the effects of general anesthesia alone and general anesthesia combined with thoracic epidural analgesia on intraoperative and post operative hemodymamics, recovery, the consumption of analgesics and the profile of postoperative side effects and the externalisation criterias of patients. Materials and Methods: Fourtysix cases fitting between ASA I-III criterias randomly divided into two groups. Anesthesia induction were performed with propofol and cisatracurium. Group I was given a 10 mL bolus dose of 2 mgmL-1 ropivacaine via thoracic epidural catheter. Where as in Group II after the insertion of thoracic epidural catheter a 4-6 mL hour-1 continued infusion of 2mg mL-1 ropivacaine solution was started. In both of the groups analgesia were managed with 10 mL bolus of ropivacaine, depending on 30 minute locked protocol, via Patient Control Analgesia (PCA). Results: The demographic data and the time of anesthesia were similar in two groups. In group II no hemodynamic response were seen to incision of the skin, the intraoperative hemodynamic parameters were more stable according to group I and the consumption of perioperative opioids were less (p<0.05). The postoperative Visuel Analog Scale (VAS) values, delivery/demand ratio of patient controlled analghesia, eyes opening with verbal stimuli and verbal response were significantly lower in group II (p<0.05). Conclusion: As a result we found that especially in the cases who are candidates for major abdominal surgery, thoracic epidural analgesia combined with general anesthesia is useful in stabilising hemodynamic parameters peroperatively and reducing the consumption of opioids and anesthesia agents, and has positive effects on early recovery criterias, lower side effects.
Açıklama
Anahtar Kelimeler
Abdominal Surgery; General Anesthesia; Hemodymamics; Patient Controlled Analgesia; Postoperative Analgesia; Ropivacaine; Thoracic Epidural Analgesia, Cisatracurium; Propofol; Ropivacaine; Abdominal Surgery; Adult; Anesthesia Induction; Article; Clinical Article; Continuous Infusion; Female; General Anesthesia; Hemodynamics; Human; Intraoperative Period; Major Surgery; Male; Patient Controlled Analgesia; Postoperative Analgesia; Postoperative Period; Thorax Epidural Anesthesia; Visual Analog Scale
Kaynak
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
15
Sayı
1
