The Comparison of Bupivacaine-Tramadol Combination With Bupivacaine-Fentanyl and Plain Bupivacaine in Epidural Anesthesia
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
In this study, the properties of epidural anesthesia with 0.5% bupivacaine and tramadol was compared with epidural anesthesia using bupivacaine-fentanyl or plain bupivacaine. For this purpose, 63 patients undergoing transuretral prostate resection were divided into three groups. Group BT(n = 22) received 70mg 0.5% bupivacaine + 50 mg tramadol HCl, Group BF(n = 21) received 70mg 0.5% bupivacaine + 50 ?g fentanyl and Group B(n = 20) received only 70mg 0.5% bupivacaine epidurally. Heart rate (HR), mean arterial pressure (MAP), breath rate (BR), oxygen saturation (SpO2), levels of sensorial block, maximum sensorial block level and motor block level were recorded. Time to need for an analgesic supplement (effective analgesia) (time to reach VAS 4) was recorded. One way analysis of variance, Tukey HSD, Kruskall Wallis, Bonferroni corrected Mann-Whitney-U tests were used. No significant change in HR was seen in between the three groups after the epidural block. A significant decrease of MAP was seen in Group BF beginning at the 40th minute lasted up to the 60th minute. Time to reach T10 sensory block level and time to reach maximum sensory block level was shorter in Group BF than Groups BT and B while Group BT and Groups B were similar. Time to complete motor block was similar in Group BT and BF. The number of patients with complete motor block was similar in Group BT and BF while there was no patient with complete motor block in Group B. The time to reach VAS 4 was 17.57 ± 7.82 hours in Group BT, 11.79 ± 8.48 hours in Group BF and 5.40 ± 2.67 hours in Group B (p < 0.05). Side effects were similar and no treatment was needed. In conclusion, tramadol-bupivacaine combination increases postoperative analgesia time significantly compared with fentanyl-bupivacaine combination and plain bupivacaine while providing stabile hemodynamic responses and similar side effects.
Açıklama
Anahtar Kelimeler
Bupivacaine, Epidural anesthesia, Fentanyl, Tramadol, TURP
Kaynak
Anestezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
10
Sayı
2
Künye
Kesriklioğlu, A., Duman, A., Öztin, Ö. C., Reisli, R., Ökeşli, S., (2002). The Comparison of Bupivacaine-Tramadol Combination With Bupivacaine-Fentanyl and Plain Bupivacaine in Epidural Anesthesia. Anestezi Dergisi, 10(2), 105-110.
