A comparison of thoracic or lumbar patient-controlled epidural analgesia methods after thoracic surgery

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dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridBaysal, AyG/0000-0002-1487-7407
dc.authoridHuseyin, Serhat/0000-0003-4118-040X
dc.authoridYORUK, YENER/0000-0001-6309-3054
dc.authoridsagiroglu, gonul/0000-0002-1189-4973
dc.authorwosidYoruk, Yener/W-4285-2017
dc.authorwosidBaysal, Ayse/AAR-8769-2021
dc.authorwosidBaysal, Ayse/AAF-8294-2019
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.authorwosidSagiroglu, Gonul/ABH-1345-2021
dc.authorwosidBaysal, AyG/AAR-8763-2021
dc.authorwosidsagiroglu, gönül/AAB-4472-2021
dc.contributor.authorSagiroglu, Gonul
dc.contributor.authorMeydan, Burhan
dc.contributor.authorCopuroglu, Elif
dc.contributor.authorBaysal, Ayse
dc.contributor.authorYoruk, Yener
dc.contributor.authorKaramustafaoglu, Yekta Altemur
dc.contributor.authorHuseyin, Serhat
dc.date.accessioned2024-06-12T11:16:16Z
dc.date.available2024-06-12T11:16:16Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: We aimed to compare patient-controlled thoracic or lumbar epidural analgesia methods after thoracotomy operations. Methods: One hundred and twenty patients were prospectively randomized to receive either thoracic epidural analgesia (TEA group) or lumbar epidural analgesia (LEA group). In both groups, epidural catheters were administered. Hemodynamic measurements, visual analog scale scores at rest (VAS-R) and after coughing (VAS-C), analgesic consumption, and side effects were compared at 0, 2, 4, 8, 16, and 24 hours postoperatively. Results: The VAS-R and VAS-C values were lower in the TEA group in comparison to the LEA group at 2, 4, 8, and 16 hours after surgery (for VAS-R, P = 0.001, P = 0.01, P = 0.008, and P = 0.029, respectively; and for VAS-C, P = 0.035, P = 0.023, P = 0.002, and P = 0.037, respectively). Total 24 hour analgesic consumption was different between groups (175 +/- 20 mL versus 185 +/- 31 mL; P = 0.034). The comparison of postoperative complications revealed that the incidence of hypotension (21/57, 36.8% versus 8/63, 12.7%; P = 0.002), bradycardia (9/57, 15.8% versus 2/63, 3.2%; P = 0.017), atelectasis (1/57, 1.8% versus 7/63, 11.1%; P = 0.04), and the need for intensive care unit (ICU) treatment (0/57, 0% versus 5/63, 7.9%; P = 0.03) were lower in the TEA group in comparison to the LEA group. Conclusions: TEA has beneficial hemostatic effects in comparison to LEA after thoracotomies along with more satisfactory pain relief profile.en_US
dc.identifier.doi10.1186/1477-7819-12-96
dc.identifier.issn1477-7819
dc.identifier.pmid24885545en_US
dc.identifier.scopus2-s2.0-84902589318en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/1477-7819-12-96
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24259
dc.identifier.volume12en_US
dc.identifier.wosWOS:000344814100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofWorld Journal Of Surgical Oncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectThoracic Epidural Analgesiaen_US
dc.subjectLumbar Epidural Analgesiaen_US
dc.subjectCardiac Enzymesen_US
dc.subjectVisual Analog Scaleen_US
dc.subjectPostoperative Pain Managementen_US
dc.subjectAnesthesiaen_US
dc.subjectSufentanilen_US
dc.subjectBenefitsen_US
dc.subjectRisksen_US
dc.titleA comparison of thoracic or lumbar patient-controlled epidural analgesia methods after thoracic surgeryen_US
dc.typeArticleen_US

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