Comparison of Postoperative Analgesic Effects of Thoracic Epidural Morphine and Fentanyl in Thoracic Surgery

Basit Öğe Kaydı
dc.authorwosidsagiroglu, gönül/AAB-4472-2021
dc.authorwosidSagiroglu, Gonul/ABH-1345-2021
dc.contributor.authorSagiroglu, Gonul
dc.date.accessioned2024-06-12T11:00:30Z
dc.date.available2024-06-12T11:00:30Z
dc.date.issued2011
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: 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.en_US
dc.identifier.doi10.5174/tutfd.2010.04144.2
dc.identifier.endpage361en_US
dc.identifier.issn2146-3123
dc.identifier.issn2146-3131
dc.identifier.issue4en_US
dc.identifier.startpage358en_US
dc.identifier.urihttps://doi.org/10.5174/tutfd.2010.04144.2
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20862
dc.identifier.volume28en_US
dc.identifier.wosWOS:000297455600003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofBalkan Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEpidural Analgesiaen_US
dc.subjectMorphineen_US
dc.subjectFentanylen_US
dc.subjectPain Managementen_US
dc.subjectInfusionen_US
dc.subjectBupivacaineen_US
dc.subjectEfficacyen_US
dc.titleComparison of Postoperative Analgesic Effects of Thoracic Epidural Morphine and Fentanyl in Thoracic Surgeryen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu

We collect and process your personal information for the following purposes: Authentication, Preferences, Acknowledgement and Statistics.
To learn more, please read our privacy policy.

Customize