A comparison of the effects of intraoperative tramadol and ketamine usage for postoperative pain relief in patients undergoing tonsillectomy [I?ntraoperatif tramadol ve ketaminin tonsillektomi uygulanan hastalarda ameliyat sonrasi a?ri üzerine etkilerinin karşilaştinlmasi]

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dc.contributor.authorSizer C.
dc.contributor.authorKara I.
dc.contributor.authorTopal A.
dc.contributor.authorÇelik J.B.
dc.date.accessioned2020-03-26T18:44:30Z
dc.date.available2020-03-26T18:44:30Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: We aimed to compare the effects of ketamine and tramadol administered intraoperatively on postoperative pain and analgesic demand in children undergoing tonsillectomy operations. Methods: Ninety children undergoing tonsillectomy, aging 5-15 years old, with ASA I - II, were included in this study. Cases were arranged in three groups and given standardized general anesthesia. After coagulation, ketamine (0.5 mg.kg-1) was administered intravenously (iv) in the ketamine group, and tramadol iv (2 mg.kg-1) was given in the tramadol group and the control group received a physiologic iv. The duration of anesthesia, duration of operation, and length of stay in the PACU were recorded. NRS and CHEOPS scales were used to assess postoperative pain. Paracetamol (15 mg.kg-1) was given rectally in the first 6 hours (hrs) and orally over the subsequent 6 hrs, if NRS greater than 3 and CHEOPS greater than 8 were observed. All data were recorded concerning the initial and total dosage of analgesic and the presence of complications within 24 hrs. Results: Demographic data, duration of anesthesia, duration of operation, and duration of stay in the PACU were similar between groups (p>0.05). The number of patients requiring additive analgesic was higher in the control group. No differences were found between the tramadol and ketamine groups (p>0.05). Additional analgesic was given earlier in the control group (p<0.05), but the need for additional analgesic was similar in tramadol and ketamine groups (p>0.05). Paracetamol dosage was significantly higher in the control group (p<0.05), but similar between the tramadol and ketamine groups (p>0.05). The frequency of nausea and vomiting was found to be significantly higher in tramadol and ketamine groups compared to the control group (p<0.05). Conclusion: Postoperative pain was effectively managed using 2 mg.kg-1 tramadol and 0.5 mg.kg-1 ketamine in pediatric tonsillectomies.en_US
dc.identifier.doi10.5505/agri.2013.82612en_US
dc.identifier.endpage54en_US
dc.identifier.issn1300-0012en_US
dc.identifier.issue2en_US
dc.identifier.pmid23720078en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage47en_US
dc.identifier.urihttps://dx.doi.org/10.5505/agri.2013.82612
dc.identifier.urihttps://hdl.handle.net/20.500.12395/30003
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofAgrien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectKetamineen_US
dc.subjectPostoperative painen_US
dc.subjectTonsillectomyen_US
dc.subjectTramadolen_US
dc.titleA comparison of the effects of intraoperative tramadol and ketamine usage for postoperative pain relief in patients undergoing tonsillectomy [I?ntraoperatif tramadol ve ketaminin tonsillektomi uygulanan hastalarda ameliyat sonrasi a?ri üzerine etkilerinin karşilaştinlmasi]en_US
dc.typeArticleen_US

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