Preemptif Analjezide İntravenöz Deksketoprofen İle İntravenöz Tramadol Etkilerinin Karşılaştırılması
Abstract
Amaç: Bu çalışmada; inguinal herni operasyonu yapılması planlanan hastalarda preemptif analjezide kullanılan deksketoprofen ve tramadol’ün parenteral formlarının etkilerini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmaya ASA I-II, 20-40 yaş, toplam 60 hasta dahil edildi. Hastalar Grup D (deksketoprofen, n=30) ve Grup T (tramadol, n=30) olarak rastgele 2 gruba ayrıldı. Kalp atım hızı, ortalama arter basıncı, periferik oksijen satürasyonu değerleri; entübasyon öncesinde/sonrasında ve postoperatif dönemde belirli periyotlardaki değerleri kaydedildi. Anestezi indüksiyonundan 15 dk önce, Grup D’ye deksketoprofen 50 mg, Grup T’ye ise tramadol 1 mg kg-1 % 0.9 NaCl içinde 15 dakikada İV infüzyon şeklinde uygulandı. Postoperatif Görsel Analog Skala (VAS) değerleri kaydedildi. Postoperatif dönemde ek analjeziye ihtiyaç duyan hastalar ve ilk analjeziğe ihtiyaç duyma süreleri kaydedildi. Hasta memnuniyeti skorları, bulantı-kusma ve diğer yan etkiler kaydedildi.
Keywords
References
- [1] US EPAOmice of Pesticide Programs. FY 2002 Annual Report. Washington, DC:USEnvironmentalProtectionAgency. Availableat: http://www.epa.gov/oppfead1/ [2] Watson WA, Litovitz TL, Klein-SchwartzWe ark. 2003 annualreport of theAmerican Association of Poison Control CentersToxicExposureSurveillanceSystem. Am J EmergMed 2004;22: 335–404. [3] Calvert GM,Plate DK, Das R ve ark. Acuteoccupationalpesticide- relatedillness in the US, 1998-1999: surveillance findingsfromthe SENSOR-pesticides program. Am J IndMed 2004;45: 14–23. [4] Robey WC, Meggs WJ. Insecticides, HerbicidesandRodenticides. In: Tintinalli JE, Kelen GD, Stapczynski JS, eds. EmergencyMedicine: a ComprehensiveStudy Guide. 6th Edn. McGraw-HillCo, New York, 2004; pp. 1134–43. [5] Worek F, Kirchner T, Backer M, Szinicz L. Reactivationbyvariousoximes of Human erythrocyt eacetylcholinesterase inhibited by different organophosphorus compounds. ArchToxicol 1996;70: 497–503 [6] Aygün D. Diagnosis in an acute organophosphate poisoning: report of Three interesting cases and review of the literature. Eur J Emerg Med 2005;12: 102–3. [7] Butera R, Locatelli C, Barretta S. Secondary exposure tomalathion in Emergency department health care workers. ClinToxicol 2002;40: 386. [8] Köksal N, Büyükbeşe MA, Güven A, Çetinkaya A, Hasanoğlu HC. Organophosphate intoxication as a consequence of mouth-to- mouthbreathingfrom an affected case. Chest 2002;122: 740–1. [9] Little M, Murray L. Consensus statement: risk of nosocomial organophosphat epoisoning in emergency departments. EmergMedAustralas 2004;16: 456–8. [10] Thiermann H, Szinicz L, Eyer F ve ark. Modern strategies in therapy of Organophosphate poisoning. ToxicolLett 1999;107: 233–9. [11] Johnson MK, Jacobsen D, Meredith TJ. Evaluation of antidotes for poisoning in Organophorus pesticides. Emerg Med 2000;12: 22–37.
Abstract
References
- [1] US EPAOmice of Pesticide Programs. FY 2002 Annual Report. Washington, DC:USEnvironmentalProtectionAgency. Availableat: http://www.epa.gov/oppfead1/ [2] Watson WA, Litovitz TL, Klein-SchwartzWe ark. 2003 annualreport of theAmerican Association of Poison Control CentersToxicExposureSurveillanceSystem. Am J EmergMed 2004;22: 335–404. [3] Calvert GM,Plate DK, Das R ve ark. Acuteoccupationalpesticide- relatedillness in the US, 1998-1999: surveillance findingsfromthe SENSOR-pesticides program. Am J IndMed 2004;45: 14–23. [4] Robey WC, Meggs WJ. Insecticides, HerbicidesandRodenticides. In: Tintinalli JE, Kelen GD, Stapczynski JS, eds. EmergencyMedicine: a ComprehensiveStudy Guide. 6th Edn. McGraw-HillCo, New York, 2004; pp. 1134–43. [5] Worek F, Kirchner T, Backer M, Szinicz L. Reactivationbyvariousoximes of Human erythrocyt eacetylcholinesterase inhibited by different organophosphorus compounds. ArchToxicol 1996;70: 497–503 [6] Aygün D. Diagnosis in an acute organophosphate poisoning: report of Three interesting cases and review of the literature. Eur J Emerg Med 2005;12: 102–3. [7] Butera R, Locatelli C, Barretta S. Secondary exposure tomalathion in Emergency department health care workers. ClinToxicol 2002;40: 386. [8] Köksal N, Büyükbeşe MA, Güven A, Çetinkaya A, Hasanoğlu HC. Organophosphate intoxication as a consequence of mouth-to- mouthbreathingfrom an affected case. Chest 2002;122: 740–1. [9] Little M, Murray L. Consensus statement: risk of nosocomial organophosphat epoisoning in emergency departments. EmergMedAustralas 2004;16: 456–8. [10] Thiermann H, Szinicz L, Eyer F ve ark. Modern strategies in therapy of Organophosphate poisoning. ToxicolLett 1999;107: 233–9. [11] Johnson MK, Jacobsen D, Meredith TJ. Evaluation of antidotes for poisoning in Organophorus pesticides. Emerg Med 2000;12: 22–37.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | October 16, 2015 |
| Submission Date | August 5, 2015 |
| Acceptance Date | September 30, 2015 |
| Published in Issue | Year 2015 Volume: 1 Issue: 1 |
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