Tiroidektomi sonrası intrainsizyonel uygulanan bupivakain uygulamasının ameliyat sonrası ağrı üzerine etkisi

Year 2004, Volume: 1 Issue: 4, 28 - 32, 01.08.2004

Ali Uzunköy Abdullah Özgönül Zeynep Baysal

Abstract

Amaç: Tiroidektomi sonrası hastalar erken dönemde kesi yeri ağrılarından yakınmaktadırlar. Bu çalışma, bu ağrıları ortadan kaldırmak için kullanılan intrainsizyonel bupivakain uygulamasının etkisini araştırmak amacıyla planlandı. Hastalar ve yöntemler: Çalışmaya alınan ve tiroidektomi uygulanan 30 olgu iki gruba ayrıldı. Kontrol grubunda hiçbir işlem yapılmadan cilt insizyonu kapatıldı. Diğer grupta ise yara dudaklarına bupivakain % 0.25 solüsyonundan 10 cc uygulandıktan sonra insizyon kapatıldı. Olguların ağrısı ameliyat sonrası 1., 4. ve 12. saatlerde görsel ağrı skalası VAS ile değerlendirildi. Olguların günlük analjezik gereksinimleri kaydedildi. Bulgular: İntrainsizyonel bupivakain verilen grupta 1., 4. ve 12. saatlerde VAS skoru ve postoperatif analjezik gereksinimleri kontrol grubuna göre anlamlı olarak az bulundu p

Keywords

Ağrı, analjezik, bupivakain, postoperatif dönem, tiroidektomi

The effect of ıntraincisional bupivacaine ınfiltration on postthyroidectomy pain

Abstract

Background: In early postoperative period, neck pain is an important complaint in patients undergone thyroidectomy. In the present study, we aimed to investigate the effect of early postoperative subcutane periincisional bupivacaine infiltration on postoperative neck pain in subjects undergone thyroidectomy. Methods: Thirty cases undergone thyroidectomy were included in the present study. The cases were assigned into two groups as study group and control group. Early postoperative subcutaneous 0.25 % solution, 10 cc bupivacaine was administered to study group. No local anesthesic agent was administered postoperatively to control group. Neck pain was evaluated using visual analog scala at 1., 4. and 12. hour of postoperative period in all subjects. Daily analgesic requirement of the cases were recorded. Results: Mean pain scores of study group were significiantly lower than control group at 1., 4., and 12. hour of postoperative period p

Keywords

Analgesia, bupivacaine, pain, postoperative, thyroidectomy

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