The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy

TÜR, Ayla; TÜR, Hatice; KARACALAR, Serap; SARIHASAN, Binnur; ÇELİK, Fahrettin; TÜRE, Uğur; UTANIR ALTAY, Sinem

The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy

Hatice TÜR, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Samsun, Türkiye)

Serap KARACALAR, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Samsun, Türkiye)

Ali EKŞİ, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Samsun, Türkiye)

Binnur SARIHASAN, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Samsun, Türkiye)

Uğur TÜRE, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Samsun, Türkiye)

Fahrettin ÇELİK, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Samsun, Türkiye)

Ayla TÜR (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Samsun, Türkiye)

Marmara Medical Journal

1 0

Yıl: 2010 Cilt: 23 Sayı: 1 Sayfa Aralığı: 14 - 21 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy

Öz:

Amaç: Bu çalışmada, hasta kontrollü analjezi yöntemi ile uygulanan tramadolün supratentoriyal kraniyotomi sonrası ağrı tedavisinde etkinliğinin araştırılması amaçlanmıştır.Gereç ve Yöntem: Elektif supratentoriyal kraniyotomi operasyonu planlanan, ASA I-II grubundan, 18-70 yaş arasında 150 hasta çalışmaya dahil edilerek, propofol ve remifentanil ile standart genel anestezi uygulandı. Bupivakain ve epinefrin ile çivili başlık noktalarına ve cerrahi insizyona skalp infiltrasyonu uygulandı. Hastalar tam olarak uyandıktan sonra ekstübe edilerek, postoperatif ağrı skorları, vizüel analog skalası (VAS) skoru kullanılarak değerlendirildi. VAS skoru >3 olduğunda, tramadol 1-1.5 mg/kg titre edilerek intravenöz olarak uygulandı ve intravenöz hasta kontrollü analjezi yöntemi ile tramadol (20 mg bolus ve 8 dakika kilitli kalma süresi) uygulanmaya başlandı. Postoperatif 48 saat süresince VAS, Glasgow koma, sedasyon, konfor, bulantı ve kusma skorları takip edildi.Bulgular: Postoperatif 48 saat süresince hastaların %46`sının analjezik ihtiyacı oldu ve bu hastalarda intravenöz hasta kontrollü analjezi yöntemi ile uygulanan tramadol ile yeterli analjezi sağladı. Postoperatif ilk 2 saatte analjezik ihtiyacının daha yüksek olduğu belirlendi (p<0.05).Sonuç: İntravenöz hasta kontrollü analjezi yöntemi ile uygulanan tramadolün kraniyotomi operasyonu sonrası ağrı tedavisinde etkin olduğu sonucuna varılmıştır.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Hasta kontrollü analjezi yöntemi ile uygulanan tramadolün supratentoriyal kraniyotomi sonrası ağrı tedavisinde etkinliğinin araştırılması

Öz:

Objective: The aim of this study was to evaluate the analgesic efficacy of intravenous PCA using tramadol in patients, undergoing supratentorial tumor resection with craniotomy.Material and Method: One hundred and fifty patients with ASA I-II between 18 and 70 years of age scheduled for an elective supratentorial craniotomy for tumor resection, were assigned to receive standardized general anesthesia. Postoperative pain was assessed at standard time intervals using a visual analogue scale (VAS) score. When the VAS score was >3, 1 to 1.5 mg/kg of tramadol was administered intravenously and PCA using tramadol was started. For 48 h postoperatively, the VAS, Glasgow coma, sedation, comfort, and nausea and vomiting scores were assessed.Results: During the first 48 hours, 46% of the patients needed analgesic therapy and PCA with tramadol was adequate for these patients. Most patients needed analgesic drugs at 2 hours and their mean analgesic usage was higher at that point than at other periods in the first 2 h (p<0.05).Conclusion: PCA with tramadol can be used effectively for postoperative pain management after craniotomy.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	TÜR H, KARACALAR S, UTANIR ALTAY S, SARIHASAN B, TÜRE U, ÇELİK F, TÜR A (2010). The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. , 14 - 21.
Chicago	TÜR Hatice,KARACALAR Serap,UTANIR ALTAY Sinem,SARIHASAN Binnur,TÜRE Uğur,ÇELİK Fahrettin,TÜR Ayla The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. (2010): 14 - 21.
MLA	TÜR Hatice,KARACALAR Serap,UTANIR ALTAY Sinem,SARIHASAN Binnur,TÜRE Uğur,ÇELİK Fahrettin,TÜR Ayla The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. , 2010, ss.14 - 21.
AMA	TÜR H,KARACALAR S,UTANIR ALTAY S,SARIHASAN B,TÜRE U,ÇELİK F,TÜR A The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. . 2010; 14 - 21.
Vancouver	TÜR H,KARACALAR S,UTANIR ALTAY S,SARIHASAN B,TÜRE U,ÇELİK F,TÜR A The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. . 2010; 14 - 21.
IEEE	TÜR H,KARACALAR S,UTANIR ALTAY S,SARIHASAN B,TÜRE U,ÇELİK F,TÜR A "The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy." , ss.14 - 21, 2010.
ISNAD	TÜR, Hatice vd. "The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy". (2010), 14-21.

APA	TÜR H, KARACALAR S, UTANIR ALTAY S, SARIHASAN B, TÜRE U, ÇELİK F, TÜR A (2010). The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. Marmara Medical Journal, 23(1), 14 - 21.
Chicago	TÜR Hatice,KARACALAR Serap,UTANIR ALTAY Sinem,SARIHASAN Binnur,TÜRE Uğur,ÇELİK Fahrettin,TÜR Ayla The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. Marmara Medical Journal 23, no.1 (2010): 14 - 21.
MLA	TÜR Hatice,KARACALAR Serap,UTANIR ALTAY Sinem,SARIHASAN Binnur,TÜRE Uğur,ÇELİK Fahrettin,TÜR Ayla The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. Marmara Medical Journal, vol.23, no.1, 2010, ss.14 - 21.
AMA	TÜR H,KARACALAR S,UTANIR ALTAY S,SARIHASAN B,TÜRE U,ÇELİK F,TÜR A The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. Marmara Medical Journal. 2010; 23(1): 14 - 21.
Vancouver	TÜR H,KARACALAR S,UTANIR ALTAY S,SARIHASAN B,TÜRE U,ÇELİK F,TÜR A The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy. Marmara Medical Journal. 2010; 23(1): 14 - 21.
IEEE	TÜR H,KARACALAR S,UTANIR ALTAY S,SARIHASAN B,TÜRE U,ÇELİK F,TÜR A "The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy." Marmara Medical Journal, 23, ss.14 - 21, 2010.
ISNAD	TÜR, Hatice vd. "The efficacy of intravenous patient-controlled analgesia using tramadol following supratentorial tumor resection craniotomy". Marmara Medical Journal 23/1 (2010), 14-21.