Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy
Yıl: 2018 Cilt: 8 Sayı: 2 Sayfa Aralığı: 95 - 100 Metin Dili: İngilizce DOI: 10.5222/buchd.2018.095 İndeks Tarihi: 20-01-2020
Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy
Öz: Objective: The aim of this study is to show the results of the implementation of a multimodalpain therapy regimen consisting of preemptive and infiltration analgesia application to laparoscopic or open appendectomy in pediatric patients.Methods: Eighty pediatric patients with diagnosis of acute and perforated appendicitis, whoscheduled for laparoscopic or open appendectomy were randomly separated into 2 groups of 40.Age, sex, and weight of the patients, duration of anesthesia and surgical techniques were recorded. Preemptive 1.5 mg/kg tramadol HCl was administered at induction of anesthesia. As infiltration anesthesia 1 mg/kg 0.5% bupivacaine HCl was administered to the incision site of allpatients. The pain levels of the patients after extubation were evaluated with Children’s Hospitalof Eastern Ontorio Pain Scale and Visual Analog Scale. The heart rates, respiratory rates, sedation score values, diastolic and systolic blood pressure values, postoperative analgesic requirements, sedation scores, the observed side effects, hospital stay, and the time of the first mobilization were recorded and compared.Results: There were no statistically significant differences between the groups with respect tomonitored parameters except operation time and anesthesia time. Postoperative first day 13patients (32.5%) in the LA group and in 9 patients (22.5%) in OA group, while on the second dayonly 2 patients (%5) in the OA group required additional analgesia .Conclusion: Our multimodal analgesia protocol consisting of preemptive analgesia and perioperative local anesthesia infiltration showed no difference between patients who underwent laparoscopic or open appendectomy with respect to pain levels and analgesic requirements.
Anahtar Kelime: Konular:
Açık veya laparoskopik apendektomi uygulanan çocuk hastalarda multimodal analjezi
Öz: Amaç: Araştırmanın amacı, laparoskopik veya açık apendektomi uygulanan çocuk hastalarda, preemptif ve infiltrasyon analjezisinden oluşan multimodal ağrı tedavisinin sonuçlarını göstermektir. Yöntem: Akut veya perfore appendisit tanısı olan, açık veya laparokopik yöntemle operasyonu planlanan 80 çocuk hasta rastgele 40 kişilik 2 gruba ayrıldı. Yaş, cinsiyet, ağırlık, anestezi süresi ve uygulanan cerrahi teknik kaydedildi. Anestezi indüksiyonu sırasında preemptif olarak 1,5 mg/kg tramadol HCl uygulandı. Bütün hastalara infiltrasyon anestezisi insizyon bölgesine 1 mg/ kg %0,5 bupivacaine HCl yapılarak uygulandı. Ekstübasyon sonrası hastaların ağrı düzeyleri Children’s Hospital of Eastern Ontorio Pain Scale and Visual Analog Scale ile değerlendirildi. Kalp hızları, solunum sayıları, sedasyon skorları, sistolik ve diastolik kan basınçları, postoperatif analjezik gereksinimi, yan etkiler, hastanede yatış süreleri ve ilk mobilizasyon zamanları kaydedildi ve karşılaştırıldı. Bulgular: Gruplar arasında takip edilen parametrelerde ameliyat süresi ve anestezi süresi hariç anlamlı farklılık saptanmadı. Laparoskopi grubunda 13 hastada (%13,5) ve açık grupta 9 hastada (%22,5) ek analjezik gereksinimi olurken, ikinci gün yalnızca açık grupta 2 hastada (%5) analjezik ihtiyaçı oldu. Sonuç: Preemptif analjezi ve lokal anestezik infiltrasyonunu içeren multimodal analjezi protokolümüz ile laparoskopik veya açık apendektomi uygulanan hastalar arasında, ağrı seviyesi ve analjezik gereksinimi yönünden farklılık saptanmadı.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Ozmert S, Sever F, ŞENEL YALÇIN Ü, GÜLDAL N, keskin g, Akin M, Saydam S, KURT D, Tiryaki T (2018). Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. , 95 - 100. 10.5222/buchd.2018.095 |
| Chicago | Ozmert Sengul,Sever Feyza,ŞENEL YALÇIN Ülkü,GÜLDAL Nurgül,keskin gülşen,Akin Mine,Saydam Sibel,KURT Devrim Tanıl,Tiryaki Tugrul Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. (2018): 95 - 100. 10.5222/buchd.2018.095 |
| MLA | Ozmert Sengul,Sever Feyza,ŞENEL YALÇIN Ülkü,GÜLDAL Nurgül,keskin gülşen,Akin Mine,Saydam Sibel,KURT Devrim Tanıl,Tiryaki Tugrul Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. , 2018, ss.95 - 100. 10.5222/buchd.2018.095 |
| AMA | Ozmert S,Sever F,ŞENEL YALÇIN Ü,GÜLDAL N,keskin g,Akin M,Saydam S,KURT D,Tiryaki T Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. . 2018; 95 - 100. 10.5222/buchd.2018.095 |
| Vancouver | Ozmert S,Sever F,ŞENEL YALÇIN Ü,GÜLDAL N,keskin g,Akin M,Saydam S,KURT D,Tiryaki T Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. . 2018; 95 - 100. 10.5222/buchd.2018.095 |
| IEEE | Ozmert S,Sever F,ŞENEL YALÇIN Ü,GÜLDAL N,keskin g,Akin M,Saydam S,KURT D,Tiryaki T "Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy." , ss.95 - 100, 2018. 10.5222/buchd.2018.095 |
| ISNAD | Ozmert, Sengul vd. "Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy". (2018), 95-100. https://doi.org/10.5222/buchd.2018.095 |
| APA | Ozmert S, Sever F, ŞENEL YALÇIN Ü, GÜLDAL N, keskin g, Akin M, Saydam S, KURT D, Tiryaki T (2018). Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 8(2), 95 - 100. 10.5222/buchd.2018.095 |
| Chicago | Ozmert Sengul,Sever Feyza,ŞENEL YALÇIN Ülkü,GÜLDAL Nurgül,keskin gülşen,Akin Mine,Saydam Sibel,KURT Devrim Tanıl,Tiryaki Tugrul Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 8, no.2 (2018): 95 - 100. 10.5222/buchd.2018.095 |
| MLA | Ozmert Sengul,Sever Feyza,ŞENEL YALÇIN Ülkü,GÜLDAL Nurgül,keskin gülşen,Akin Mine,Saydam Sibel,KURT Devrim Tanıl,Tiryaki Tugrul Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, vol.8, no.2, 2018, ss.95 - 100. 10.5222/buchd.2018.095 |
| AMA | Ozmert S,Sever F,ŞENEL YALÇIN Ü,GÜLDAL N,keskin g,Akin M,Saydam S,KURT D,Tiryaki T Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2018; 8(2): 95 - 100. 10.5222/buchd.2018.095 |
| Vancouver | Ozmert S,Sever F,ŞENEL YALÇIN Ü,GÜLDAL N,keskin g,Akin M,Saydam S,KURT D,Tiryaki T Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2018; 8(2): 95 - 100. 10.5222/buchd.2018.095 |
| IEEE | Ozmert S,Sever F,ŞENEL YALÇIN Ü,GÜLDAL N,keskin g,Akin M,Saydam S,KURT D,Tiryaki T "Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy." İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 8, ss.95 - 100, 2018. 10.5222/buchd.2018.095 |
| ISNAD | Ozmert, Sengul vd. "Multimodal analgesia for pediatric patients who underwent open or laparoscopic appendectomy". İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 8/2 (2018), 95-100. https://doi.org/10.5222/buchd.2018.095 |
