The effectiveness of preemptive thoracic epidural analgesia in thoracic surgery
Göster/ Aç
Erişim
info:eu-repo/semantics/openAccessTarih
2014Yazar
Ertürk, EnginKaya, Ferdane Aydoğdu
Kutanış, Dilek
Beşir, Ahmet
Akdoğan, Ali
Geze, Şükran
Tuğcugil, Ersagun
Üst veri
Tüm öğe kaydını gösterKünye
Erturk, E., Kaya, F.A:, Kutanis, D., Besir, A., Akdogan, A., Geze, S., Tugcugil, E., (2014). The Effectiveness of Preemptive Thoracic Epidural Analgesia in Thoracic Surgery. Biomed Research International, 2014, article number 673682. https://doi.org/10.1155/2014/673682Özet
Background. the aim of this study is to investigate the effectiveness of preemptive thoracic epidural analgesia (TEA) comparing conventional postoperative epidural analgesia on thoracotomy. Material and Methods. Forty-four patients were randomized in to two groups (preemptive: Group P, control: Group C). Epidural catheter was inserted in all patients preoperatively. in Group P, epidural analgesic solution was administered as a bolus before the surgical incision and was continued until the end of the surgery. Postoperative patient controlled epidural analgesia infusion pumps were prepared for all patients. Respiratory rates (RR) were recorded. Patient's analgesia was evaluated with visual analog scale at rest (VASr) and coughing (VASc). Number of patient's demands from the pump, pump's delivery, and additional analgesic requirement were also recorded. Results. RR in Group C was higher than in Group P at postoperative 1st and 2nd hours. Both VASr and VASc scores in Group P were lower than in Group C at postoperative 1st, 2nd, and 4th hours. Patient's demand and pump's delivery count for bolus dose in Group P were lower than in Group C in all measurement times. Total analgesic requirements on postoperative 1st and 24th hours in Group P were lower than in Group C. Conclusion. We consider that preemptive TEA may offer better analgesia after thoracotomy.