The effect of addition of ketamine to lidocaine on postoperative pain in rhinoplasties
Yükleniyor...
Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Tubıtak scıentıfıc & technıcal research councıl turkey, ataturk bulvarı no 221, kavaklıdere, ankara, 00000, turkey
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background/aim: The objective of this study was to examine the effect of addition of subanesthetic doses of ketamine to an epinephrine-lidocaine solution on postoperative pain, analgesic use, and patient comfort during rhinoplasties. Materials and methods: Ninety patients were randomly divided into three groups: Group L, lidocaine with epinephrine; Group K, lidocaine with epinephrine plus ketamine; and Group S (control group), physiological saline solution with epinephrine. The local anesthetic solution was injected as preincisionally with intranasal submucosal infiltration following induction of general anesthesia. We evaluated visual pain score, analgesic demand, Wilson sedation score, and antiemetic demand at 5, 15, and 30 min and 1, 2, 4, 6, 8, 16, and 24 h after the operation. The patient satisfaction score was checked 24 h after the operation. Results: Visual pain score was significantly reduced in Group K in comparison with the other groups and this group did not need any rescue analgesics (P < 0.05). The postoperative patient satisfaction scores were highest in Group K compared with the other groups (P < 0.05). Conclusion: Addition of ketamine solution to lidocaine for infiltration block during rhinoplasty was successful in decreasing pain during postoperative periods and reducing analgesic consumption during the first 24 h after the operation.
Açıklama
Anahtar Kelimeler
Double-blınd, subcutaneous ınfıltratıon, regıonal anesthesıa, surgery, relıef, cholecystectomy, bupıvacaıne, analgesıa, adjuvants
Kaynak
Turkısh journal of medıcal scıences
WoS Q Değeri
Q3
Scopus Q Değeri
Q3
Cilt
46
Sayı
3
Künye
Sanli, M . Gulhas, N . Bilen, BT . Erdogan Kayhan, G. Ucar, M. Aytekin, AH. Yologlu, S . (2016). The effect of addition of ketamine to lidocaine on postoperative pain in rhinoplasties. Cilt:46.Sayı:3. 789- 794 ss.
