YOĞUN BAKIMDA KOT KIRIKLARININ AĞRISININ TEDAVİSİNDA HASTA KONTROLLÜ TORAKAL EPİDURAL ANALJEZİNİN ETKİNLİĞİ

Cilt: 42 Sayı: 2 1 Haziran 2003
  • Abdürrahim Derbent
  • Kubilay Demirağ
  • Meltem Uyar
  • Elvin Kurdoğlu
  • Mehmet Uyar
  • Ali Reşat Moral
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THE EFFICACY OF PATIENT CONTROLLED THORACIC EPIDURAL ANALGESIA FOR THE TREATMENT OF RIB FRACTURE PAIN İN INTENSIVE ÇARE UNIT

Abstract

Pain from rib fractures may affect cardiopulmonary functions. The aim of this study is to evaluate the efficacy of patient controlled thoracic epidural analgesia (PCTEA) for pain relief in chest trauma patients. Ten patients were included. Heart rate, mean arterial pressure, pain scores by Visual Analogue Scale (VAS) at rest, cough and movement, respiratory rate, PaO2 and vital capacity (VC) were measured behre and after PCTEA. The patients were monitored for 72 h during analgesic treatment. After the placement of the epidural catheter, a PCA pump was used for PCTEA. 10 mL of 0,125% bupivacaine plus fentanyl citrate (2 jj,g/mL) was delivered as a loading dose and the same analgesic mixture was used for the maintenance at the foilowing dosages: basal infusion rate 5 mL/hr, PCA bolus dose 10 mL and lockout time 30 min. VAS scores were recorded at 4-hour intervals, VC and PaO2 was measured before PCTEA and at predetermined intervals. VAS scores (at rest, cough and movement), VC and PaO2 were improved during 72 h follow-up period. PCTEA could be applied safely and successfully for pain relief in chest trauma patients.

Keywords

Ayrıntılar

Birincil Dil

Türkçe

Konular

-

Bölüm

-

Yazarlar

Abdürrahim Derbent

Kubilay Demirağ

Meltem Uyar

Elvin Kurdoğlu

Mehmet Uyar

Ali Reşat Moral

Yayımlanma Tarihi

1 Haziran 2003

Gönderilme Tarihi

1 Haziran 2003

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2003 Cilt: 42 Sayı: 2

IZ

https://izlik.org/JA64UX37NF

Kaynak Göster

RIS / Bibtex
Vancouver
1.Abdürrahim Derbent, Kubilay Demirağ, Meltem Uyar, Elvin Kurdoğlu, Mehmet Uyar, Ali Reşat Moral. YOĞUN BAKIMDA KOT KIRIKLARININ AĞRISININ TEDAVİSİNDA HASTA KONTROLLÜ TORAKAL EPİDURAL ANALJEZİNİN ETKİNLİĞİ. ETD [Internet]. 01 Haziran 2003;42(2):115-9. Erişim adresi: https://izlik.org/JA64UX37NF

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