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dc.contributor.authorGürsoy S.
dc.contributor.authorKaygusuz K.
dc.contributor.authorDemirel Y.
dc.contributor.authorDuran B.
dc.contributor.authorKafali H.
dc.contributor.authorMimaro?lu C.
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T09:12:36Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T09:12:36Z
dc.date.issued2006
dc.identifier.issn1300-0292
dc.identifier.urihttps://hdl.handle.net/20.500.12418/4402
dc.description.abstractObjective: The present study aimed to determine the advantage and disadvantage of different postoperative analgesia methods in patients undergoing cesarean section or hysterectomy under general anesthesia. Material and methods: Following ethics committee approval and patient informed consents, 120 patients were recruited from the ASA I-III groups. Patients were divided randomly into 6 groups. IM-D group received intramuscular diclofenac sodium (75 mg) every 12 hours. IM-ME group received intramuscular meperidine (1 mg kg -1) every 6 hours. IM-DME group received intramuscular meperidine (1 mg kg-1)-diclofenac sodium (75 mg) combination every 12 hours. EP-MO group received epidural morphine (bolus of 3 mg and 0.06 mg mL-1 morphine; 6 ml h-1) infusion. EP-MOB group received epidural infusion of morphine-bupivacaine combination (bolus of 2 mg morphine + 35 mg bupivacaine combination, 2 mg ml-1 bupivacaine + 0.03 mg mL-1 morphine combination; 6 ml h-1). IV-MO group received intravenous morphine via patient-controlled analgesia (loading dose of 3 mg, bolus of 1 mg and 20 minutes lockout interval). Heart rate, mean arterial pressure, SpO 2, pain and sedation levels were recorded at 2, 6, 12, 24 and 48 hours. Furthermore, additional analgesic consumption and side effects were also recorded. Results: Effective analgesia was in groups IM-DME, EP-MO, EP-MOB, and IV-MO. However, the lowest pain scores were obtained in groups EP-MO and EP-MOB. Sedation scores were higher in groups EP-MO and IV-MO. While the highest additional analgesic consumption was in groups IM-D and IM-ME, there was no additional analgesic consumption in groups EP-MO, EP-MOB and IV-MO. Side effects were not observed in any groups that required treatment. The highest incidence of side effects were in group IV-MO whereas the lowest incidence of side effects were observed in groups IM-DME and EP-MOB. Conclusion: While there was effective analgesia in groups IM-DME, EP-MO, EP-MOB, and IV-MO, IM diclofenac + meperidine combination and epidural bupivacaine + morphine combination seemed more advantageous when the side effects were considered. Copyright © 2006 by Türkiye Klinikleri.en_US
dc.language.isoturen_US
dc.publisherTurkiye Kliniklerien_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnalgesiaen_US
dc.subjectDiclofenacen_US
dc.subjectEpiduralen_US
dc.subjectMorphineen_US
dc.subjectSurgeryen_US
dc.titleComparison of postoperative analgesia methods in lower abdominal surgery [Alt batin cerrahilerinde postoperatif analjezi yöntemlerinin karşilaştirilmasi]en_US
dc.typearticleen_US
dc.relation.journalTurkiye Klinikleri Journal of Medical Sciencesen_US
dc.contributor.departmentGürsoy, S., Cumhuriyet Üniversitesi, Tip Fakültesi, Anesteziyologi ve Reanimasyon AD, 58140, Sivas, Turkey -- Kaygusuz, K., Cumhuriyet Üniversitesi, Tip Fakültesi, Anesteziyologi ve Reanimasyon AD, 58140, Sivas, Turkey -- Demirel, Y., Aile Hekimli?i, Cumhuriyet Üniversitesi, Tip Fakültesi, Sivas, Turkey -- Duran, B., Kadin Hastaliklari ve Do?um AD, Cumhuriyet Üniversitesi, Tip Fakültesi, Sivas, Turkey -- Kafali, H., Cumhuriyet Üniversitesi, Tip Fakültesi, Anesteziyologi ve Reanimasyon AD, 58140, Sivas, Turkey -- Mimaro?lu, C., Cumhuriyet Üniversitesi, Tip Fakültesi, Anesteziyologi ve Reanimasyon AD, 58140, Sivas, Turkeyen_US
dc.identifier.volume26en_US
dc.identifier.issue2en_US
dc.identifier.endpage152en_US
dc.identifier.startpage146en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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