Toraks cerrahisinde ameliyat sonrası analjezi

HADİMİOĞLU, Necmiye; YEĞİN, Arif; ERDOĞAN, ABDULLAH

Toraks cerrahisinde ameliyat sonrası analjezi

Arif YEĞİN, (Akdeniz Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Antalya, Türkiye)

Abdullah ERDOĞAN, (Akdeniz Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Antalya, Türkiye)

Necmiye HADİMİOĞLU (Akdeniz Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Antalya, Türkiye)

Türk Göğüs Kalp Damar Cerrahisi Dergisi

12 3

Yıl: 2005 Cilt: 13 Sayı: 4 Sayfa Aralığı: 418 - 425 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Toraks cerrahisinde ameliyat sonrası analjezi

Öz:

Ameliyat sonrası ağrı, cerrahi travmayla başlayıp doku iyileşmesiyle sona eren bir süreçtir. Nöroendokrin işlevler, solunum ve renal fonksiyonlar, gastrointestinal aktivite, dolaşım ve otonom sinir sistemi gibi birçok sistem bu süreçte yer alır. Bu durum torakal ve abdominal ameliyatlar gibi büyük cerrahi girişim uygulanan hastalarda ciddi sorunlara yol açmaktadır. Özellikle torakotomilerde şiddetli ağrı yakınması olmaktadır. Toraks cerrahisini takiben, ortaya çıkan ağrının etkili bir analjeziyle giderilmesi, iyileşmeyi hızlandırarak, komplikasyon oranını azaltır; hastanın erken mobilizasyona katkıda bulunur ve hastanede kalış süresini kısaltır. Torakotomi sonrası ortaya çıkan şiddetli ağrının tedavisinde en sık kullanılan ve en etkin analjezi sağlayan yöntem, aynı zamanda ciddi komplikasyonlara da yol açabilen torakal epidural analjezi uygulamasıdır. Ancak, olası komplikasyonları en aza indirmek ve yeterli analjezi sağlamak için, tek bir yöntem uygulanması yerine hem ilaçların hem de yöntemlerin kombine edilerek kullanılması, torakotomi uygulanan hastalarda daha etkin analjezi sağlamaktadır.

Anahtar Kelime: Kombine tedavi uygulaması Analjezikler, opioid Analjezi, epidural Torakotomi Ağrı, ameliyat sonrası Toraks cerrahisi işlemleri

Konular: Anestezi Acil Tıp Cerrahi

Postoperative analgesia for thoracic surgery

Öz:

Postoperative pain is a process that begins with surgical trauma and ends with tissue repair. In this process, a number of systems are involved including the neuroendocrine, respiratory, renal, gastrointestinal, circulatory, and autonomic nerve systems. Serious pain problems occur in patients undergoing major surgical interventions such as thoracic or abdominal operations. Postoperative pain may be particularly severe in thoracotomy patients. After thoracotomy, elimination of pain with an effective analgesic may accelerate recovery and reduce complication rates during the postoperative period. Thus, the patient can be mobilized earlier and the length of hospitalization may be shortened. Although thoracic epidural analgesia is the most efficient and commonly practiced method for the control of severe post-thoracotomy pain, it is associated with some serious complications. Therefore, instead of placing full reliance on a single method, it may be more convenient to utilize medications and analgesic methods in combination in the postoperative period of thoracotomy patients.

Anahtar Kelime: Analgesia, Epidural Thoracotomy Pain, Postoperative Thoracic Surgical Procedures Combined Modality Therapy Analgesics, Opioid

Konular: Anestezi Acil Tıp Cerrahi

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	YEĞİN A, ERDOĞAN A, HADİMİOĞLU N (2005). Toraks cerrahisinde ameliyat sonrası analjezi. , 418 - 425.
Chicago	YEĞİN Arif,ERDOĞAN ABDULLAH,HADİMİOĞLU Necmiye Toraks cerrahisinde ameliyat sonrası analjezi. (2005): 418 - 425.
MLA	YEĞİN Arif,ERDOĞAN ABDULLAH,HADİMİOĞLU Necmiye Toraks cerrahisinde ameliyat sonrası analjezi. , 2005, ss.418 - 425.
AMA	YEĞİN A,ERDOĞAN A,HADİMİOĞLU N Toraks cerrahisinde ameliyat sonrası analjezi. . 2005; 418 - 425.
Vancouver	YEĞİN A,ERDOĞAN A,HADİMİOĞLU N Toraks cerrahisinde ameliyat sonrası analjezi. . 2005; 418 - 425.
IEEE	YEĞİN A,ERDOĞAN A,HADİMİOĞLU N "Toraks cerrahisinde ameliyat sonrası analjezi." , ss.418 - 425, 2005.
ISNAD	YEĞİN, Arif vd. "Toraks cerrahisinde ameliyat sonrası analjezi". (2005), 418-425.

APA	YEĞİN A, ERDOĞAN A, HADİMİOĞLU N (2005). Toraks cerrahisinde ameliyat sonrası analjezi. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 13(4), 418 - 425.
Chicago	YEĞİN Arif,ERDOĞAN ABDULLAH,HADİMİOĞLU Necmiye Toraks cerrahisinde ameliyat sonrası analjezi. Türk Göğüs Kalp Damar Cerrahisi Dergisi 13, no.4 (2005): 418 - 425.
MLA	YEĞİN Arif,ERDOĞAN ABDULLAH,HADİMİOĞLU Necmiye Toraks cerrahisinde ameliyat sonrası analjezi. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.13, no.4, 2005, ss.418 - 425.
AMA	YEĞİN A,ERDOĞAN A,HADİMİOĞLU N Toraks cerrahisinde ameliyat sonrası analjezi. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2005; 13(4): 418 - 425.
Vancouver	YEĞİN A,ERDOĞAN A,HADİMİOĞLU N Toraks cerrahisinde ameliyat sonrası analjezi. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2005; 13(4): 418 - 425.
IEEE	YEĞİN A,ERDOĞAN A,HADİMİOĞLU N "Toraks cerrahisinde ameliyat sonrası analjezi." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 13, ss.418 - 425, 2005.
ISNAD	YEĞİN, Arif vd. "Toraks cerrahisinde ameliyat sonrası analjezi". Türk Göğüs Kalp Damar Cerrahisi Dergisi 13/4 (2005), 418-425.