İntravenöz rejyonel anestezi tekniğinde prilokain, prilokaine eklenen deksketoprofen ve deksametazonun etkinliklerinin karşılaştırılması
Yükleniyor...
Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada intravenöz rejyonel anestezide (IVRA) prilokain ve buna eklenen deksketoprofen ve deksametazonun anestezik ve analjezik etkinliklerinin karşılaştırılması amaçlandı. Gereç ve Yöntem: El ve el bileği cerrahisi geçirecek 18-60 yaş, ASA I-II 45 olgu rastgele üç gruba ayrıldı. Grup Pye 3 mg/ kg %0.5 prilokain, Grup PDKya 3 mg/kg %0.5 prilokain ile 50 mg deksketoprofen, Grup PDMye 3 mg/kg %0.5 prilokain ile 8 mg deksametazon total 40 ml verildi. Duyusal ve motor blok başlama ve dönüş zamanları, hemodinamik veriler, analjezi süresi, turnike süresi, intraoperatif fentanil alan hasta sayısı, ilk analjezik zamanı, vizüel analog skala (VAS), 24 saat analjezik tüketimi ve hasta memnuniyet skorları kaydedildi. Bulgular: Duyusal blok başlama zamanı Grup P de uzun bulunurken, motor blok başlama zamanı daha uzun ve motor blok dönme zamanı daha kısa bulundu (p0.05). Duyusal blok dönme zamanları açısından üç grup arasında anlamlı fark bulun- madı. İntraoperatif turnike ağrısı başlama zamanı Grup PDM ve Grup PDK da daha uzun bulunurken (p0.05), intraope- ratif fentanil ihtiyacı olan hasta sayısı Grup P de daha fazlaydı (p0.05). İlk analjezi verilme zamanı Grup PDK da her iki gruptan uzun bulunurken (p0.05), total analjezik tüketimi Grup P de diğer iki gruptan daha fazla (p0.05), Grup PDM de de Grup PDK dan fazla bulundu (p0.05). Grup P de intraoperatif VAS değerleri daha yüksek (p0.05) bulunurken, hasta memnuniyet skorları daha düşük bulundu (p0.05). Sonuç: İntravenöz rejyonel anestezide prilokaine eklenen deksketoprofen ve deksametazonun hem analjezik hem de aneste- zik kaliteyi artırdığı ancak deksketoprofenin ameliyat sonrası ilk 24 saatte daha iyi analjezi sağladığı gösterilmiş
Objectives: The aim of this study was to compare the anesthetic and analgesic effects of prilocaine alone, prilocaine added dexketopro- fen and dexamethasone during intravenous regional anesthesia (IVRA). Methods: Forty five patients undergoing forearm or hand surgery were randoml y assigned to one of three groups to receive (Group P) 3 mg/kg 0.5% prilocaine; (Group PDK) 3 mg/kg 0.5% prilocaine plus 50 mg dexketoprofen; (Group PDM) 3 mg/kg 0.5% prilo- caine plus 8 mg dexamethasone in total 40 ml volume for IVRA. The onset and duration of sensory and motor blocks, hemodynamic datas, duration of analgesia and tourniquet, time to first analgesic requirement, visual analog scale (VAS), total analgesic consump- tion in 24 hours and patient satisfaction score were assessed and recorded. Results: Time to onset of sensory block was found to be longer in Group P (p>0.05), though no signi ficance was found according to sensory block recovery times amoung groups. Time to onset of motor block was found to be longer and recovery time of motor block was found to be shorter in Group P (p>0.05). Time to first analgesic requirement was found to be longer in Group PDK,and was found to be high in Group PDM than Group PDK(p>0.05). The VAS scores was found to be high and patient satisfaction scale was found to be low in Group P (p>0.05). Conclusion: The addition of dexketoprofen and dexamethasone to prilocaine during IVRA improves the quality of both anesthesia and analgesia moreover dexketoprofen provides beter postoperative analgesia during the first 24 hour after surgery.
Objectives: The aim of this study was to compare the anesthetic and analgesic effects of prilocaine alone, prilocaine added dexketopro- fen and dexamethasone during intravenous regional anesthesia (IVRA). Methods: Forty five patients undergoing forearm or hand surgery were randoml y assigned to one of three groups to receive (Group P) 3 mg/kg 0.5% prilocaine; (Group PDK) 3 mg/kg 0.5% prilocaine plus 50 mg dexketoprofen; (Group PDM) 3 mg/kg 0.5% prilo- caine plus 8 mg dexamethasone in total 40 ml volume for IVRA. The onset and duration of sensory and motor blocks, hemodynamic datas, duration of analgesia and tourniquet, time to first analgesic requirement, visual analog scale (VAS), total analgesic consump- tion in 24 hours and patient satisfaction score were assessed and recorded. Results: Time to onset of sensory block was found to be longer in Group P (p>0.05), though no signi ficance was found according to sensory block recovery times amoung groups. Time to onset of motor block was found to be longer and recovery time of motor block was found to be shorter in Group P (p>0.05). Time to first analgesic requirement was found to be longer in Group PDK,and was found to be high in Group PDM than Group PDK(p>0.05). The VAS scores was found to be high and patient satisfaction scale was found to be low in Group P (p>0.05). Conclusion: The addition of dexketoprofen and dexamethasone to prilocaine during IVRA improves the quality of both anesthesia and analgesia moreover dexketoprofen provides beter postoperative analgesia during the first 24 hour after surgery.
Açıklama
Anahtar Kelimeler
Cerrahi, Deksametazon, Deksketoprofen, İntravenöz Rejyonel Anestezi, Prilokain, Dexamethasone, Dexketoprofen, İntravenous Regional Anesthesia, Prilocaine
Kaynak
Ağrı
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
26
Sayı
2
Künye
Borazan, H., Şahin, O., Uluer, M. S., Sarıtaş, T. B., Otelcioğlu, Ş., Keçecioğlu, A. (2014). İntravenöz rejyonel anestezi tekniğinde prilokain, prilokaine eklenen deksketoprofen ve deksametazonun etkinliklerinin karşılaştırılması. Ağrı, 26, 2, 65 - 72.
