Comparison of the Postoperative Analgesic Effects of Wound Infiltration with Tramadol and Levobupivacaine in Children Undergoing Inguinal Hernia and Undescended Testis Surgery

Yıl 2013, Cilt: 10 Sayı: 2, 74 - 78, 01.06.2013

Bahanur Cekic Ufuk Dogan Sukran Geze Engin Erturk Ahmet Besir

Öz

The aim of this study was to compare the effects of wound infiltration with levobupivacaine and tramadol in reducing postoperative pain in children undergoing unilateral inguinal hernia and undescended testis surgery. Under general anesthesia for elective unilateral inguinal hernia and undescended testis underwent surgery, ASA I-II, 80 children between the ages of 1-6 records in the patient's file was reviewed. The patients who were given 2mg.kg-1 tramadol in saline solution as prepared 0,2 ml.kg-1 into the surgical incision area by the surgeon at the end of the operation were accepted as Group T, who were given 0.25% levobupivacaine as 0.2 ml.kg-1 were accepted as Group L. Hemodynamic parameters, CHEOPS pain scores, additional analgesic consumption, adverse effects were recorded from the files. Patients\' CHEOPS were significantly higher in Group L compared to Group T at 4 and 6 hours (p

Anahtar Kelimeler

Levobupivacaine, postoperative pain, tramadol, wound infiltration, children

Comparison of the Postoperative Analgesic Effects of Wound Infiltration with Tramadol and Levobupivacaine in Children Undergoing Inguinal Hernia and Undescended Testis Surgery

Öz

Biz çalışmamızda inguinal herni ve inmemiş testis operasyonu geçiren çocuklarda levobupivakain ile tramadolun yara yeri infiltrasyon yöntemiyle postoperatif ağrıyı azaltmadaki etkinliklerini karşılaştırmayı amaçladık. Genel anestezi altında elektif inguinal herni ve inmemiş testis operasyonu geçiren, ASA I-II risk grubunda, 1-6 yaş arası 80 çocuk hastanın dosya kayıtları retrospektif olarak incelendi. Cerrahi bitiminde, cilt kapanmadan önce yara dudaklarına 2 mg/kg tramadol içeren solusyondan 0.2 ml/kg olacak şekilde yapılanlar T Grubu, %0.25’ lik levobupivakain solusyondan 0.2 ml/kg olacak şekilde yapılanlar L Grubu olarak kabul edildi. Hemodinamik parametreler, CHEOPS ağrı skoru, ek analjezik tüketimi ve yan etkiler dosyalardan incelenerek kaydedildi.Hastaların CHEOPS skoru L grubunda T grubu ile kıyaslandığında 4. ve 6. saatte daha yüksek saptandı (p<0.01). Ek analjezik tüketimi bakımından, Grup T’de ev periyodu dönemi parasetamol tüketimi Grup L 'den daha düşüktü (p<0.05). Sonuç olarak biz çalışmamızda; inguinal herni onarımı ve inmemiş testis operasyonu geçiren çocuklarda yara yerine infiltre edilen tramadolun levobupivakaine göre daha uzun analjezi süresi sağladığını ve ek analjezik ihtiyacının daha az olduğunu bulduk

Anahtar Kelimeler

Levobupivakain, postoperatif ağrı, tramadol, yara infiltrasyonu, çocuk

Kaynakça

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