Comparison of Postoperative Analgesic Effects of Thoracic Epidural Morphine and Fentanyl in Thoracic Surgery
Küçük Resim Yok
Tarih
2011
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publ House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: In our study, we aimed to compare epidural morphine and fentanyl analgesia and the side effects in post-thoracotomy pain management. Material and Methods: Forty patients, planned for elective thoracotomy were included. Bupivacain- morphine was administered through an epidural catheter to the patients in Group-M while bupivacain-fentanyl was given in Group-F. Pain assessment was carried out with the Visual Analogue Scale (VAS) and VAS-I and VAS-II were assessed in 0, 4, 16 and 24(th) hour in the postoperative unit. Adverse effects were recorded after the 24(th) hour. Statistical analyses were performed by using Two-sample independent-t test, Mann Whitney-U test, Wilcoxon-signed ranks test and Pearson chi-squared tests. Results: Although, the VAS-I and VAS-II scores were lower in Group-M than Group-F, the difference was not significant statistically (p>0.05). When other hours were compared with initial states, beginning from the 4(th) hour, in both groups there was a statistically significant drop in VAS-I and VAS-II scores at all times (p<0.001). Comparing the complications between the groups, in Group-M nausea-vomiting (p<0.015) and bradycardia (p<0.012) were found significantly more frequently than in Group-F. Conclusion: We concluded that, in pain management after thoracic surgery, either morphine or fentanyl may be chosen in thoracal epidural analgesia but, especially in the early postoperative hours, close follow-up is necessary due to the risk of bradycardia development.
Açıklama
Anahtar Kelimeler
Epidural Analgesia, Morphine, Fentanyl, Pain Management, Infusion, Bupivacaine, Efficacy
Kaynak
Balkan Medical Journal
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
28
Sayı
4
