Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?
Yıl: 2019 Cilt: 30 Sayı: 1 Sayfa Aralığı: 46 - 52 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.62395 İndeks Tarihi: 22-11-2019
Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?
Öz: Objectives: This study aims to evaluate the efficacy of ultrasound (US)-guided peripheral nerve blocks in postoperative analgesia after pediatric orthopedic tumor surgery. Patients and methods: This retrospective study included 108 children (64 boys, 44 girls, mean age 10.23 years; range, 2 to 18 years) who were performed orthopedic tumor surgery under general anesthesia. The children were divided into two groups as those who were performed nerve block for postoperative pain control (group 1, n=54) and those who were performed intravenous analgesic (group 2, n=54). In group 1, nerve blocks were performed with bupivacaine 0.25%. In group 2, intraoperative acetaminophen 15 mg/kg was performed intravenously. Postoperative visual analog scale (VAS) scores, time to pain onset, nausea, vomiting, total analgesic consumption in 24 hours, and complications were recorded at first, second, sixth and 24th hours. Results: Visual analog scale scores were higher in group 2 than group 1 at first, second, and sixth hours, but were not different at 24th hour. Mean time to pain onset was 10.2 hours in group 1 and 1.8 hours in group 2 (p<0.05). Mean time to pain onset and VAS values at first, second, sixth and 24th hours did not differ between nerve block types. Nausea and vomiting rates were not different between groups 1 and 2 (18.51% and 16.66%, respectively; p=0.4). Total analgesic consumption in 24 hours was higher in group 2 compared to group 1 (1.7 and 0.07 mg/kg, respectively; p<0.05). Conclusion: Pain-free periods extending up to 10 hours provided by US-guided peripheral nerve blocks may help recovery while reducing postoperative analgesic use and their side effects.
Anahtar Kelime: Konular:
Pediatrik ortopedik tümör cerrahisinin ağrı kontrolünde periferik sinir blokları etkili midir?
Öz: Amaç: Bu çalışmada, pediatrik ortopedik tümör cerrahisi sonrasında ameliyat sonrası analjezide ultrason eşliğinde uygulanan periferik sinir bloklarının etkinliği değerlendirildi. Hastalar ve yöntemler: Bu retrospektif çalışmaya genel anestezi altında ortopedik tümör cerrahisi uygulanan 108 çocuk (64 erkek, 44 kız; ort. yaş 10.23 yıl; dağılım, 2-18 yıl) dahil edildi. Çocuklar ameliyat sonrası ağrı kontrolü için sinir bloğu uygulananlar (grup 1, n=54) ve intravenöz analjezik uygulananlar (grup 2, n=54) olmak üzere iki gruba ayrıldı. Grup 1’de sinir blokları bupivakain %0.25 ile yapıldı. Grup 2’de 15 mg/kg asetaminofen ameliyat sırasında intravenöz olarak uygulandı. Ameliyat sonrası görsel analog ölçeği (VAS) skorları, ağrı başlangıcına kadar geçen zaman, bulantı, kusma, 24 saatte toplam analjezik tüketimi ve olası komplikasyonlar birinci, ikinci, altıncı ve 24. saatlerde kaydedildi. Bulgular: Görsel analog ölçeği skorları grup 2’de birinci, ikinci ve altıncı saatlerde grup 1’den daha yüksekti, ancak 24. saatte farklı değildi. Ağrı başlangıcına kadar geçen ortalama zaman grup 1’de 10.2 saat iken grup 2’de 1.8 saat idi (p<0.05). Ağrı başlangıcına kadar geçen ortalama zaman ve birinci, ikinci, altıncı ve 24. saatlerdeki VAS değerleri, sinir bloğu tipleri arasında farklılık göstermedi. Bulantı ve kusma oranları grup 1 ve 2 arasında farklı değildi (sırasıyla %18.51 ve %16.66, p=0.4). Yirmi dört saatte toplam analjezik tüketimi grup 2’de grup 1’e kıyasla daha yüksekti (sırasıyla 1.7 ve 0.07 mg/kg, p<0.05). Sonuç: Ultrason eşliğinde uygulanan periferik sinir bloklarının sağladığı 10 saate kadar uzayan ağrısız dönemler ameliyat sonrası analjezik kullanımını ve bunların yan etkilerini azaltarak iyileşmeye yardımcı olabilir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ARGUN G, ÇAYIRLI G, TOGRAL G, ARIKAN Ş, ünver s (2019). Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. , 46 - 52. 10.5606/ehc.2019.62395 |
| Chicago | ARGUN Güldeniz,ÇAYIRLI Göze,TOGRAL GURAY,ARIKAN Şefik Murat,ünver süheyla Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. (2019): 46 - 52. 10.5606/ehc.2019.62395 |
| MLA | ARGUN Güldeniz,ÇAYIRLI Göze,TOGRAL GURAY,ARIKAN Şefik Murat,ünver süheyla Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. , 2019, ss.46 - 52. 10.5606/ehc.2019.62395 |
| AMA | ARGUN G,ÇAYIRLI G,TOGRAL G,ARIKAN Ş,ünver s Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. . 2019; 46 - 52. 10.5606/ehc.2019.62395 |
| Vancouver | ARGUN G,ÇAYIRLI G,TOGRAL G,ARIKAN Ş,ünver s Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. . 2019; 46 - 52. 10.5606/ehc.2019.62395 |
| IEEE | ARGUN G,ÇAYIRLI G,TOGRAL G,ARIKAN Ş,ünver s "Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?." , ss.46 - 52, 2019. 10.5606/ehc.2019.62395 |
| ISNAD | ARGUN, Güldeniz vd. "Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?". (2019), 46-52. https://doi.org/10.5606/ehc.2019.62395 |
| APA | ARGUN G, ÇAYIRLI G, TOGRAL G, ARIKAN Ş, ünver s (2019). Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(1), 46 - 52. 10.5606/ehc.2019.62395 |
| Chicago | ARGUN Güldeniz,ÇAYIRLI Göze,TOGRAL GURAY,ARIKAN Şefik Murat,ünver süheyla Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.1 (2019): 46 - 52. 10.5606/ehc.2019.62395 |
| MLA | ARGUN Güldeniz,ÇAYIRLI Göze,TOGRAL GURAY,ARIKAN Şefik Murat,ünver süheyla Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.1, 2019, ss.46 - 52. 10.5606/ehc.2019.62395 |
| AMA | ARGUN G,ÇAYIRLI G,TOGRAL G,ARIKAN Ş,ünver s Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(1): 46 - 52. 10.5606/ehc.2019.62395 |
| Vancouver | ARGUN G,ÇAYIRLI G,TOGRAL G,ARIKAN Ş,ünver s Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(1): 46 - 52. 10.5606/ehc.2019.62395 |
| IEEE | ARGUN G,ÇAYIRLI G,TOGRAL G,ARIKAN Ş,ünver s "Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.46 - 52, 2019. 10.5606/ehc.2019.62395 |
| ISNAD | ARGUN, Güldeniz vd. "Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/1 (2019), 46-52. https://doi.org/10.5606/ehc.2019.62395 |
