Assessment of Prolonged Pain Severity in Newborn Infants with Tube Thoracostomy Receiving Paracetamol or Fentanyl Treatment with EDIN Scale

Öz

Aim: The aim of this study was to assess the severity of pain in preterm infants who underwent tube thoracostomy with pneumothorax and EDIN scales and to investigate the effect of two different analgesic treatments paracetamol or fentanyl on the EDIN scores.Material and Methods: Between January 2014 and December 2015, infants who had a gestational age of 32-37 weeks and underwent tube thoracostomy with pneumothorax were evaluated for compliance. EDIN scale was applied by two experienced nurses and scores were recorded in 6 hours. Infants receiving paracetamol or fentanyl as an analgesic treatment were studied in 2 groups.Results: A total of 50 infants were analyzed, 27 with paracetamol treatment and 23 with fentanyl treatment. There was no difference between the first EDIN scores 9 and 8 p> 0.01 respectively . The EDIN score recorded at the 6th hour was significantly lower in the fentanyl group 5 and 7, p

Anahtar Kelimeler

• EDIN scale,fentanyl,paracetamol,premature,prolonged pain

Parasetamol veya Fentanil Tedavisi Alan Tüp Torakostomili Yenidoğan Bebeklerde Uzamış Ağrı Şiddetinin EDIN Ölçeği İle Değerlendirilmesi

Öz

Amaç: Pnömotoraks tanısı ile tüp torakostomi uygulanan preterm bebeklerde ağrı şiddetinin EDIN ölçeği ile değerlendirilmesi ve uygulanan iki farklı analjezik tedavinin parasetamol veya fentanil EDIN skorları üzerine etkisinin araştırılmasıdır.Gereç ve Yöntemler: Ocak 2014-Aralık 2015 tarihleri arasında gebelik yaşı 32-37 hafta olan ve pnömotoraks tanısı ile tüp torakostomi uygulanan bebekler uygunluk açısından değerlendirildi. İki deneyimli hemşire tarafından EDIN ölçeği uygulandı ve 6 saatte bir skorlar kaydedildi. Analjezik tedavi olarak parasetamol veya fentanil alan bebekler 2 grupta incelendi.Bulgular: Parasetamol tedavisi alan 27 ve fentanil tedavisi alan 23 bebek olmak üzere toplam 50 bebek analiz edildi. İlk EDIN skorları arasında gruplar arasında fark saptanmadı sırasıyla; 9 ve 8 p>0.01 . İkinci 6. Saatte kaydedilen EDIN skoru fentanil grubunda anlamlı düşük saptandı 5 ve 7, p

Anahtar Kelimeler

• EDIN skala,fentanil,parasetamol,prematüre,uzamış ağrı

Kaynakça

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