Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.16, sa.2, ss.80-83, 2008 (Scopus)
Objective: In the management of postoperative pain control after tonsillectomy for adult patients; different pain regimens, opioid consumption and side effects were compared. Method: ASA I-II, 45 patients participated in the study. In group A, preemptive 1μg kg-1 min-1 alfentanyl infusion was administered; in group B, following the tonsillectomy a total of 6 mL 0.25 % bupivacaine hydrochloride was infiltrated around each tonsiller area. In group C, patients did not receive any analgesic drug during surgery, but following the operation, iv tramadol patient controlled analgesia (PCA) was performed. Pain intensity with visuel analog scale (VAS) and verbal pain scale (VPS) scores were recorded at 30 minutes, and 1, 2, 4, 6 and 24 hours postoperatively like sedation scores, tramadol consumption, demand rate and side effects. Results: The consumption of tramadol through IV PCA in Group B (105±40mg) was significantly less than in Group A (248±43mg) and Group C (271±115mg) (p<0.05). The demand rate in Group B (20±15) was significantly less than in Group A (67±47) and Group C (84±53) (p<0.05). VAS and VPS indicated no differences in pain scores between the groups but nausea and vomiting percentages were significantly less in Group B (%5) than in Group A (%20) and Group C (%22) (p<0.05). Conclusion: Sufficient pain treatment was achieved with all of the pain management regimens; however, postoperative opioid consumption and related side effects were decreased with local anesthetic infiltration.