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Sünnet sonrası analjezi amacı ile kaudal blok, dorsal penil bloğu, topikal analjezi ve sistemik analjezinin karşılaştırılması

Başlık çevirisi mevcut değil.

  1. Tez No: 354065
  2. Yazar: AYŞE KARATAŞ
  3. Danışmanlar: PROF. DR. ZEYNEP ETİ
  4. Tez Türü: Tıpta Uzmanlık
  5. Konular: Anestezi ve Reanimasyon, Anesthesiology and Reanimation
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2011
  8. Dil: Türkçe
  9. Üniversite: Marmara Üniversitesi
  10. Enstitü: Tıp Fakültesi
  11. Ana Bilim Dalı: Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: 55

Özet

The aim of our study was to compare the postoperative analgesic effect, side effects and parent satisfaction of caudal block, dorsal penile block, topical and systemic analgesia in children undergoing circumcision. After ethics committee approval and parental written concent, eighty children aged between 3-12 years, undergoing circumsicion were randomised into four groups (n=20). After induction, Group KA received caudal block with 0.25% bupivacain 1ml/kg; Group DP received dorsal penile block with 0.25% bupivacain 0.3ml/kg; Group TA received topical cream consisting of 3gr 2.5% lidocain and 2.5% prilocain 1 hour before operation and Group SA received 40mg/kg rectal/oral paracetamol, 3x1 mg/kg meperidine iv postoperatively. General anesthesia was induced with 8% sevoflourane and N2O inhalation in 30% O2 or thiopental 5-7 mg/kg iv and was maintained with 1 MAC sevoflourane and N2O in 30% O2. The severity of pain was measured with NRS and with CHEOPS in children who colud not express pain severity at postoperative 0, 2nd, 4th, 6th, 12th and 24th hours. When additional analgesia was required, meperidine 1mg/kg IV was administered. Patients' awakening time, first analgesic requirement time, first urination, mobilisation and discharge times, side effects and parental satisfaction according to a 4 point scale was measured. Data was statistically analysed with two-way ANOVA, Tukey-Kramer, Mann-Whitney U and chi-square tests. (p0,05). Parental satisfacsatisfaction was higher in Group KA compared to other groups and higher in Group DP compared to Groups TA and SA (p

Özet (Çeviri)

The aim of our study was to compare the postoperative analgesic effect, side effects and parent satisfaction of caudal block, dorsal penile block, topical and systemic analgesia in children undergoing circumcision. After ethics committee approval and parental written concent, eighty children aged between 3-12 years, undergoing circumsicion were randomised into four groups (n=20). After induction, Group KA received caudal block with 0.25% bupivacain 1ml/kg; Group DP received dorsal penile block with 0.25% bupivacain 0.3ml/kg; Group TA received topical cream consisting of 3gr 2.5% lidocain and 2.5% prilocain 1 hour before operation and Group SA received 40mg/kg rectal/oral paracetamol, 3x1 mg/kg meperidine iv postoperatively. General anesthesia was induced with 8% sevoflourane and N2O inhalation in 30% O2 or thiopental 5-7 mg/kg iv and was maintained with 1 MAC sevoflourane and N2O in 30% O2. The severity of pain was measured with NRS and with CHEOPS in children who colud not express pain severity at postoperative 0, 2nd, 4th, 6th, 12th and 24th hours. When additional analgesia was required, meperidine 1mg/kg IV was administered. Patients' awakening time, first analgesic requirement time, first urination, mobilisation and discharge times, side effects and parental satisfaction according to a 4 point scale was measured. Data was statistically analysed with two-way ANOVA, Tukey-Kramer, Mann-Whitney U and chi-square tests. (p0,05). Parental satisfacsatisfaction was higher in Group KA compared to other groups and higher in Group DP compared to Groups TA and SA (p

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