Combination of Dexmedetomidine and Tramadol in the Treatment of Pain After Thoracotomy

Demırhan, Abdullah; Gül, Rauf; Ganidagli, Suleyman; Koruk, Senem; Mızrak, Ayşe; Şanlı, Maruf; Öner, Ünsal

doi:10.5222/gkdad.2011.034

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…These methods combine intravenous drug administration with regional anesthesia procedures. These methods reduce the side effects of opioids in analgesic doses and improve patient comfort [9]. Multimodal approaches for thoracic surgery can be applied in combination with intravenous opioid, NSAIDs and regional methods such as paravertebral block and thoracic epidural block.…”

Section: Discussionmentioning

confidence: 99%

“…Effectiveness of SAPB, which is used more frequently for thoracic anatomy, have been tried to be determined with case studies and research articles in the literature. Breast surgery, thoracotomy and video assisted thoracoscopic surgery operations are some of the studies using SAPB [9,[13][14][15]. Although the level of analgesia is indicated as level of T2-T9 by Blanco et al [7], there are also publications in which the sensory block level is stated to be formed in a narrower area of T2-T6 to T3-T8 [8,[15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

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Torakotomi analjezisi için uygulanan serratus anterior alan ve torakal epidural blok etkinliklerinin karşılaştırılması

Ökmen

2018

Archives of Clinical and Experimental Medicine

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Aim: Currently, regional anesthesia methods are frequently used for post-thoracotomy pain. In this study, we aimed to compare the efficacy of serratus anterior plane block and thoracic epidural block for pain after thoracotomy. Methods: This retrospective study included 120 patients who underwent thoracotomy. Seventy patients who met the inclusion criteria were evaluated in two groups as Group E (thoracic epidural block) (n=37) and Group S (serratus anterior plane block) (n=33). Postoperative 2nd, 6th, 12th and 24 hour visual analogue scale scores and total analgesic consumption for 24 hours were evaluated. Secondary outcomes were determined as side effects, additional analgesic drug requirement and complications. Results: In the comparison between the groups, there were no statistically significant differences between two groups in terms of postoperative 2 nd (p=0.417), 6 th (p=0.271), 12 th (p=0.734) and 24 th hour (p=0.157) visual analogue scale scores and the amount of total analgesic consumption for 24 hours (p=0.714). There was no statistically significant difference between two groups with regard to the side effects nausea and vomiting (p=0.714), pruritus (p=N/A), respiratory depression (p=N/A) levels. Conclusion: The results of this study demonstrate that use of serratus anterior plane block and thoracic epidural block administration has similar outcomes for post-thoracotomy analgesia.

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Section: Discussionmentioning

confidence: 99%