Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
A comparison of the effects of intraoperative tramadol and ketamine usage for postoperative pain relief in patients undergoing tonsillectomy
Agri · Nisan 2013
YÖKSİS Kayıtları
the comparision of effects intraoperative tramadol and ketamine usage for postoperative pain relief in patient with tonsillectomy
Ağrı - The Journal of The Turkish Society of Algology · 2013 PUBMED
PROFESÖR JALE BENGİ ÇELİK →
the comparision of effects intraoperative tramadol and ketamine usage for postoperative pain relief in patient with tonsillectomy
Ağrı - The Journal of The Turkish Society of Algology · 2013 index medicus
PROFESÖR JALE BENGİ ÇELİK →
Makale Bilgileri
DergiAgri
Yayın TarihiNisan 2013
Cilt / Sayfa25 · 47-54
Scopus ID2-s2.0-84880101805
Erişim🔓 Açık Erişim
Özet
Objectives: 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.
Yazarlar (4)
1
Cigdem Sizer
2
Inci Kara
3
Ahmet Topal
4
Jale Çelik
Anahtar Kelimeler
Ketamine
Postoperative pain
Tonsillectomy
Tramadol
Kurumlar
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
2
Atıf
4
Yazar
4
Anahtar Kelime