Postoperatif ağrı tedavisinde uygulanan hasta-kontrollü analjezi yöntemlerinin retrospektif incelemesi

Öz

Amaç: Postoperatif ağrı tedavisinde hasta kontrollü anal­jezi (HKA) uygulamaları, konvansiyonel analjezi yöntem­lerinden daha etkindir. Daha az sedasyon ve postoperatif komplikasyonla yüksek hasta memnuniyeti sağlamaları ve hastaların iyileşme sürecine olan pozitif etkileri ne­deniyle günümüzde sıklıkla tercih edilmektedir. Bu çalış­mada kliniğimizde son iki yıllık süreç içerisinde uygula­dığımız HKA yöntemlerine ait verileri retrospektif olarak incelemeyi amaçladık. Yöntemler: Hastanemizde 01 Ocak 2010 ve 31 Aralık 2011 tarihleri arasında postoperatif analjezi amacıyla HKA uygulanan hastaların kayıtları incelendi. Hastaların cinsiyetleri, HKA protokolleri ve operasyonlara ait veriler değerlendirildi. Bulgular: Çalışmada 2010 yılında 1030 hastadan 580 (%56,3) hastaya İV tramadol HKA, 431 (%41,8) hastaya epidural HKA, 19 (%1,8) hastaya ise İV morfin HKA uy­gulandığı görülmüştür. 2011\'de ise 971 hastanın 737\'sine (%75,9) İV tramadol HKA, 234\'üne (%24,1) epidural HKA uygulandığı görülmüştür. 2011 yılında İV tramadol HKA kullanımı 2010 yılına göre anlamlı derecede artarken (p

Anahtar Kelimeler

• Postoperatif ağrı; analjezi, has­ta-kontrollü; analjezi, epidural.

A retrospective investigation of the patient-controlled analgesia methods applied for postoperative pain management

Abstract

Objectives: Patient-controlled analgesia (PCA) in post­operative pain treatment is more effective than conven­tional analgesia methods. It is commonly preferred for the reasons of maintaining high patient satisfaction and posi­tive effects on patients\' recovery period with less sedation and postoperative complications. In this study we aimed to investigate the characteristics of PCA methods that have been applied at our clinic within the last two-year period retrospectively. Methods: The records of patients who were received PCA for postoperative analgesia at our hospital between 01 January 2010 and 31 December 2011 were investigat­ed. Patients\' genders, PCA protocols and the operations\' characteristics were evaluated. Results: In this study, it was seen that of the 1030 pa­tients, IV tramadol PCA was applied to 580 (56.3%) pa­tients, epidural PCA was applied to 431 (41.8%) patients and IV morphine PCA was applied to 19 (1.8%) patients. In 2011, it was seen that of the 971 patients, IV tramadol PCA was applied to 737 (75.9%) patients and epidural PCA was applied to 234 (24.1%) patients. When com­pared to 2010, it was detected that IV tramadol PCA use has significantly increased (p

Keywords

• Postoperative pain; analgesia, patient-con­trolled, analgesia; epidural.

Kaynakça

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