Evaluation of the effectiveness of fentanyl, tramadol and diclofenac in combination with propofol for dilation and curettage

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dc.authoridSEZEN, GULBIN/0000-0001-5790-2337
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorSomunkiran, Asli
dc.contributor.authorSezen, Gulbin
dc.contributor.authorKocaman, Buket
dc.contributor.authorHayit, Feray
dc.contributor.authorOzdemir, Ismail
dc.date.accessioned2024-09-25T19:57:36Z
dc.date.available2024-09-25T19:57:36Z
dc.date.issued2006
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractObjective: To compare the value of three agents in terms of providing postoperative analgesia in patients having dilation and curettages. Their effects on hemodynamic parameters were evaluated. Recovery and sedation properties were also assessed. Design: Prospective, randomized trial Setting: University hospital Patients: Sixty three patients who underwent fractional curettage. Interventions: Diclofenac 1 mg/kg intramuscularly 30 minutes before induction and tramadol 1 mg/kg intravenously 15 minutes before induction were given in group 1 and 2, respectively. The third group received fentanyl 1 mu g/kg intravenously for induction. Then, induction was provided with propofol 2 mg/kg and % 50 air and % 50 oxygen given with face mask. For anesthesia management 20% of the induction dose of propofol was used intermittently. Main outcome measures: Peroperative and postoperative haemodynamic parameters and SPO2 were recorded. Visual Analog Scale 0-10 cm, sedation score 0-4 point, Aldrete recovery scores 1-10 were assessed postoperatively at the 1, 5, 15, 30, and 120th minutes. Results: Peroperative and postoperative hemodynamic parameters showed no difference. The scores obtained by using Visual Analog Scale were also similar in all groups. There were no differences in sedation and Aldrete recovery scores in the three groups. On the other hand, propofol consumption was significantly lower in the fentanyl group when compared with the other two groups. Conclusion: Fentanyl usage decreased the amount of propofol when compared with diclofenac and tramadol administration. However, both tramadol and diclofenac were associated with lower amount of supplementary analgesic agents. They are both nonnarcotic analgesics. Therefore, preference of these two agents may be regarded more favorable.en_US
dc.identifier.endpage194en_US
dc.identifier.issn2149-9322
dc.identifier.issn2149-9330
dc.identifier.issue3en_US
dc.identifier.startpage191en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13483
dc.identifier.volume3en_US
dc.identifier.wosWOS:000409142900010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofTurkish Journal of Obstetrics And Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectcurettageen_US
dc.subjectdiclofenacen_US
dc.subjectfentanilen_US
dc.subjectpostoperative analgesiaen_US
dc.subjecttramadolen_US
dc.titleEvaluation of the effectiveness of fentanyl, tramadol and diclofenac in combination with propofol for dilation and curettageen_US
dc.typeArticleen_US

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