ABSTRACT
Aim: Pain is the major problem early postoperative period after perianal operations. In this study, we aimed to evaluate the effect of adding 50 μg or 100 μg of morphine on intrathecal 5 mg hyperbaric bupivacaine on postoperative analgesia before anal surgery.
Material and Method: A total of 60 patients divided into 3 groups, including 20 patients in each group, were included for the study; Group 1: 5 mg 0.5% heavy bupivacaine (HB), Group 2: 5 mg 0.5% HB and 50 μg Morphine, Group 3: 5 mg 0.5% HB and 100 μg Morphine was intrathecally administered. Intraoperative and postoperative hemodynamics, time to urination and first analgesia requirement, perioperative and postoperative side effects were recorded
Results: The time to first analgesic need in Group 1 (305.40 ± 143.86) was statistically significantly lower than Group 2 (435.50 ± 171.70) and Group 3 (435.50 ± 156.08) was determined (p=0.015). No significant difference was found between urinary retention (p>0.05). It was determined that the postoperative nausea and vomiting percentages (25.0%) in Group 3 were statistically significantly higher than Group 2 (5.0%) and Group 1 (0.0%) (p<0.05).
Conclusions: The use of 50 μg of intrathecal morphine in patients undergoing perianal surgery in saddle block anesthesia has the expected effect on postoperative analgesia and it is considered appropriate to be preferred in perianal surgery because it causes minimal adverse side effects.
HERHANGİ BİR MALİ DESTEK ALINMAMIŞTIR.
YOK
Acknowledgements.—We would like to thank Assoc. Prof. Dr. Esra OZAYAR ( Chief of Anesthesiology Clinic, University of Healh Science, Kecioren Training and Research Hospital) and Assoc. Prof. Dr. Hakan BULUS ( Chief of General Surgery Clinic, University of Healh Science, Kecioren Training and Research Hospital ) for permissions and supports in our study. We also thank all the volunteers who participated in our study.
YOK
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Research Articles |
Yazarlar | |
Proje Numarası | YOK |
Yayımlanma Tarihi | 24 Nisan 2021 |
Yayımlandığı Sayı | Yıl 2021 Cilt: 3 Sayı: 2 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
- Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
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