Fess olgularında bilateral sfenopalatin ganglion blokajının postoperatif ağrı, bulantı-kusma, boğaz ağrısı ve laringospazm üzerine etkileri
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Fonksiyonel endoskopik sinüs cerrahisi (FESS) olgularında, bilateral sfenopalatin ganglion (SPG) blokajının postoperatif erken komplikasyonlar üzerine etkilerini araştırmayı amaçladık. Yöntem: Genel anestezi altında FESS planlanan 60 olgu çalışmaya alındı. Olgular iki gruba ayrıldı; Sfenopalatin grubuna (Grup S, n=30) operasyon bitiminden 15 dakika önce bilateral 2 mL % 0.25 bupivakain ile SPG blokajı yapıldı. Kontrol grubunda (Grup K, n=30) ise her iki SPG alanına 2 mL % 0.9’luk NaCl solüsyonu enjekte edildi. Operasyondan sonra derlenme ünitesinde; hastaların 2., 6. ve 24. saatlerdeki ağrı ve analjezik ihtiyacı değerlendirildi. Derlenme süresince laringospazm varlığı ve ilk 24 saatteki bulantı-kusma sıklığı kaydedildi. Bulgular: Vizüel analog skala (VAS) değerleri postoperatif 2. saatte Grup S’de daha düşük idi. ‹lk 24 saatte Grup S’de 11 olguda 15 defa kurtarıcı analjezik ihtiyacı olurken, Grup K’da 24 olguda 31 kez kurtarıcı analjezik uygulanması gerekti. Grup S’de normal pozisyondaki boğaz ağrısı, yutkunma sırasındaki boğaz ağrısı ve başağrısı sıklığı, sırası ile 5, 13 ve 15 olguda tespit edilirken bu oranlar Grup K için 7, 17 ve 22 olgu olarak belirlendi. Grup K’da 2 olguda laringospazm gözlenirken Grup S’de hiçbir olguda laringospazm gözlenmedi. Postoperatif 24 saatte Grup S’deki 6 olguda ve Grup K’daki 10 olguda bulantı-kusma gözlendi ancak aralarında istatiksel fark yoktu. Sonuç: Bilateral SPG blokajı uygulaması ile erken postoperatif dönemde kontrol grubuna göre daha iyi analjezi sağlandığı belirlendi, laringospazm ve bulantı-kusma üzerine anlamlı etkilerin olduğunun söylenebilmesi için daha ileri çalışmalara ihtiyaç olduğu kanaatine varıldı.
Objective: We aimed to compare the effects of sphenopalatin ganglion blockade (SPGB) with control group on the early postoperative complications for functional endoscopic sinus surgery (FESS). Method: Sixty patients scheduled for functional endoscopic sinus surgery (FESS) were included in the study. The patients were allocated one of two groups: In Sphenopalatine group (Grup S, n=30), SPGB was applied bilaterally with 2 mL 0.25% bupivacaine 15 min before the end of the surgery. In Control group (Grup K, n=30) 2 mL 0.9 % NaCl solution were injected in both SPG sites. Postoperative pain and analgesic demands were evaluated at 2nd , 6th and 24th hours. The presence of laryngospasm and the frequency of nausea/vomiting in the first 24 hours were also recorded in both groups. Results: Visual analogue scale (VAS) scores were significantly lower in group S at 2nd hour postoperatively. In the first 24 hours, 15 rescue analgesic drugs were needed in 11 cases in group S, but 31 times of 24 cases in group K. In group S the incidence of sore throat in neutral position, sore throat during swallowing and headache was 5, 13 and 15, whereas the incidence were 7, 17 and 22 in group K respectively. Larygospasm was observed in 2 cases of group K, and none in group S. Nausea-vomiting was seen in 6 cases in group S and 10 cases in group K in 24 hours postoperatively but no significant difference in morbidity was detected. Conclusion: Bilateral SPG blockade may provide better analgesia in early postoperative period, when it is compared with control group; but further studies are needed to determine the beneficial effects on larygospasm and nausea-vomiting
Objective: We aimed to compare the effects of sphenopalatin ganglion blockade (SPGB) with control group on the early postoperative complications for functional endoscopic sinus surgery (FESS). Method: Sixty patients scheduled for functional endoscopic sinus surgery (FESS) were included in the study. The patients were allocated one of two groups: In Sphenopalatine group (Grup S, n=30), SPGB was applied bilaterally with 2 mL 0.25% bupivacaine 15 min before the end of the surgery. In Control group (Grup K, n=30) 2 mL 0.9 % NaCl solution were injected in both SPG sites. Postoperative pain and analgesic demands were evaluated at 2nd , 6th and 24th hours. The presence of laryngospasm and the frequency of nausea/vomiting in the first 24 hours were also recorded in both groups. Results: Visual analogue scale (VAS) scores were significantly lower in group S at 2nd hour postoperatively. In the first 24 hours, 15 rescue analgesic drugs were needed in 11 cases in group S, but 31 times of 24 cases in group K. In group S the incidence of sore throat in neutral position, sore throat during swallowing and headache was 5, 13 and 15, whereas the incidence were 7, 17 and 22 in group K respectively. Larygospasm was observed in 2 cases of group K, and none in group S. Nausea-vomiting was seen in 6 cases in group S and 10 cases in group K in 24 hours postoperatively but no significant difference in morbidity was detected. Conclusion: Bilateral SPG blockade may provide better analgesia in early postoperative period, when it is compared with control group; but further studies are needed to determine the beneficial effects on larygospasm and nausea-vomiting
Açıklama
Anahtar Kelimeler
Anestezi, Acil Tıp, Tıbbi Araştırmalar Deneysel, Kulak, Burun, Boğaz
Kaynak
Anestezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
16
Sayı
2
