Comparison of ON-Q elastomeric pump system and thoracic epidural analgesia methods for pain management after thoracotomy

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dc.authoridBaysal, AyG/0000-0002-1487-7407
dc.authoridsagiroglu, gonul/0000-0002-1189-4973
dc.authorwosidBaysal, Ayse/AAF-8294-2019
dc.authorwosidSagiroglu, Gonul/ABH-1345-2021
dc.authorwosidBaysal, Ayse/AAR-8769-2021
dc.authorwosidTasci, Ahmet Erdal/ABF-4634-2021
dc.authorwosidsagiroglu, gönül/AAB-4472-2021
dc.authorwosidBaysal, AyG/AAR-8763-2021
dc.contributor.authorSagiroglu, Gonul
dc.contributor.authorBaysal, Ayse
dc.contributor.authorMeydan, Burhan
dc.contributor.authorKiraz, Osman Gazi
dc.contributor.authorTasci, Ahmet Erdal
dc.date.accessioned2024-06-12T11:09:36Z
dc.date.available2024-06-12T11:09:36Z
dc.date.issued2017
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: This study aims to compare the results of continuous infusion of local anesthetics through either ON-Q elastomeric pump or thoracic epidural analgesia for management of pain after thoracotomy. Methods: Ninety-seven patients (86 males, 11 females; mean age 56.37 years; range 34 to 86 years) were included in this prospective and randomized study. Patients were randomized into two groups to undergo either ON-Q elastomeric pump system (group 1, n=50) or thoracic epidural analgesia (group 2, n=47) for 24 hours. In both groups, continuous 0.125% bupivacaine infusion was performed from a catheter at a rate of 0.1 mL/kg/hour. Intravenous morphine was provided to all patients through patient controlled analgesia method. Postoperative pain was evaluated with visual analog scale during rest and coughing at baseline and postoperative first, sixth, 12th, and 24th hours. Results: Although visual analog scale rest and coughing scores of group 1 at first, sixth, 12th, and 24th hours were significantly higher than group 2, its baseline values were similar to group 2. Total local anesthetic consumption of group 2 was higher than group 1. Although hypotension was not observed in any patient in group 1, significant hypotension was observed in seven patients (14.9%) in group 2. The incidences of nausea and vomiting were 4% (n=2) in group 1 and 17% (n=8) in group 2. Conclusion: Thoracic epidural analgesia provides superior analgesia compared to ON-Q elastomeric pump system in pain treatment after thoracotomy. Still, having lesser incidence of hypotension and easier technical application, ON-Q elastomeric pump system may be considered as an alternative method to thoracic epidural analgesia.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2017.12446
dc.identifier.endpage132en_US
dc.identifier.issn1301-5680
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85011967269en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage124en_US
dc.identifier.trdizinid286697en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2017.12446
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/286697
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22878
dc.identifier.volume25en_US
dc.identifier.wosWOS:000396677500018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectON-Q Elastomeric Pump Systemen_US
dc.subjectPainen_US
dc.subjectThoracic Epidural Blocken_US
dc.subjectThoracotomyen_US
dc.subjectPostthoracotomy Painen_US
dc.subjectContinuous-Infusionen_US
dc.subjectBupivacaineen_US
dc.subjectPerfusionen_US
dc.subjectEfficacyen_US
dc.titleComparison of ON-Q elastomeric pump system and thoracic epidural analgesia methods for pain management after thoracotomyen_US
dc.typeArticleen_US

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