Effects of different epidural initiation volumes on postoperative analgesia in cesarean section

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dc.authoridDurmus, Mahmut/0000-0001-9594-9064
dc.authoridErdogan Kayhan, Gulay/0000-0002-2635-9295
dc.authoridkaçmaz, osman/0000-0002-1219-7758
dc.authorwosidDurmus, Mahmut/ABH-3006-2020
dc.authorwosidErdogan Kayhan, Gulay/JVZ-0037-2024
dc.authorwosidkaçmaz, osman/GXG-6745-2022
dc.contributor.authorKacmaz, Osman
dc.contributor.authorGulhas, Nurcin
dc.contributor.authorErdogan Kayhan, Gulay
dc.contributor.authorDurmus, Mahmut
dc.date.accessioned2024-08-04T20:10:03Z
dc.date.available2024-08-04T20:10:03Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground/aim: The aim of this study was to compare the effects of different epidural initiation volumes on postoperative pain scores, analgesic requirements, and side effects in pregnant women administered patient-controlled epidural analgesia (PCEA) for postoperative pain after cesarean sections. Materials and methods: Eighty-one pregnant women, aged 18-45 years, were included in this randomized, double-blind study. Combined spinal epidural anesthesia was administered for each cesarean section. The patients were divided into 3 groups and different volumes (20 mL, 10 mL, and 5 mL) of the study drug (0.0625% bupivacaine plus 2 mu g/ml, of fentanyl) were administered 90 min after the spinal block via epidural catheter. The visual analogue scale (VAS) scores at rest and during movement, first PCEA dose time, number of PCEA doses required per hour, total analgesic consumed, and side effects were recorded postoperatively. Results: There were no statistically significant differences among the groups in terms of the VAS rest and VAS movement scores. The times to the first analgesic dose requirement were longer in Group 10 and Group 20 than in Group 5. The analgesic requirement during the first 2 h was lower in Group 20 than in the other groups. Conclusions: The PCEA initiations with different volumes provided similar pain scores. However, the 20 mL volume resulted in a lower analgesic dose requirement during the early postoperative period, and it also delayed the requirement for analgesia.en_US
dc.identifier.doi10.3906/sag-1905-44
dc.identifier.endpage1962en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue8en_US
dc.identifier.pmid32682357en_US
dc.identifier.scopus2-s2.0-85098760467en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1955en_US
dc.identifier.trdizinid535722en_US
dc.identifier.urihttps://doi.org/10.3906/sag-1905-44
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/535722
dc.identifier.urihttps://hdl.handle.net/11616/92577
dc.identifier.volume50en_US
dc.identifier.wosWOS:000600735500026en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technological Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCesarean sectionen_US
dc.subjectcombined spinal epidural anesthesiaen_US
dc.subjectpatient-controlled epidural analgesiaen_US
dc.subjectpostoperative painen_US
dc.titleEffects of different epidural initiation volumes on postoperative analgesia in cesarean sectionen_US
dc.typeArticleen_US

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