ARTROSKOPÝK DÝZ CERRAHÝSÝNDE TRAMADOLÝLE PREEMPTÝF ANALJEZÝ

Bu çalýþmada artroskopik diz cerrahisinde cilt insizyonundan önce yapýlan tramadolun postoperatif analjezi ve analjezik gereksinimine etkisini araþtýrmayý amaçladýk. Artroskopik diz cerrahisi geçirecek ASA I-III grubundan, demografik özellikler açýsýndan benzer 30 hasta rastlantýsal olarak iki eþit gruba ayrýldý. Hastalarýn tümü operasyondan 30 dakika önce IM 0.5 mg atropin, 10 mg diazem ile premedike edildi. Anestezi indüksiyonunda 1(g/kg fentanili takiben tiyopental sodyum ve veküronyum bromür, idamede %50 N2O: O2 içinde sevofluran kullanýldý. Grup I'deki olgulara baþka analjezik verilmezken, Grup II'dekilere cilt insizyonundan önce 1 mg/kg tramadol IM yapýldý. Tüm vakalarda ekstübasyonu takiben (0. saat), 2.,4., 6., 8., 12., 24. ve 48. saatlerde istirahat ve hareketle görsel analog skala (VAS 0-10) ve sözel skala (VRS çok iyi, iyi, orta, kötü) kontrolü yapýldý. Her iki grupta da postoperatif analjezik gereksinimi olduðunda non-steroid antiinflamatuar drog kullanýldý. Her iki grup arasýnda istirahat ve hareketle VAS ve VRS, 1. gün, 2. gün ve toplam analjezik gereksinimlerinde fark bulunamadý.

PREEMPTIVE ANALGESIA WITH TRAMADOL IN ARTHROSCOPIC KNEE SURGERY

We aimed to investigate the effect of IM tramadol when given before the surgical incision on postoperative analgesia and analgesic requirements. 30 patients, ASA I-III scheduled to undergo arthroscopic knee surgery were included in the study. All of the patients were premedicated with atropin 0.5 mg and diazepam 10 mg, 30 minutes before the operation. Anesthesia was induced with thiopental Na, following 1 µg/kg fentanyl and neuromuscular block was maintained with vecuronium bromide. Maintenance anesthetic was sevoflurane in 50% O2: N2O. The patients were divided into two groups and they received no analgesic in Group I and, tramadol 1 mg/kg IM before the surgical incision in Group II. VAS and VRS scores at resting and motion were evaluated immediately after extubation (0 hr), 2, 4, 6, 8, 12,24 and 48 hours following extubation. Non steroidal antiinflammatory drug was administered when required. There was no significant difference between the two groups in according to VAS and VRS scores and analgesic requirements for the first 48 hours postoperatively.