The effects of secondhand smoke on postoperative pain and fentanyl consumption

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dc.authoridDurmus, Mahmut/0000-0001-9594-9064
dc.authoridErsoy, Mehmet/0000-0002-0724-2825
dc.authoridaydogan, mustafa said/0000-0002-7106-1156
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridYücel, Aytaç/0000-0003-0270-8339
dc.authoridErdogan, Mehmet Ali/0000-0002-3860-6919
dc.authorwosidDurmus, Mahmut/ABH-3006-2020
dc.authorwosidErsoy, Mehmet/ACN-2779-2022
dc.authorwosidaydogan, mustafa said/AAA-2828-2021
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidYücel, Aytaç/ABI-6137-2020
dc.authorwosidDurmuş, Mahmut/AAG-3377-2019
dc.authorwosidErdogan, Mehmet Ali/ABI-7224-2020
dc.contributor.authorAydogan, Mustafa Said
dc.contributor.authorOzturk, Erdogan
dc.contributor.authorErdogan, Mehmet Ali
dc.contributor.authorYucel, Aytac
dc.contributor.authorDurmus, Mahmut
dc.contributor.authorErsoy, Mehmet Ozcan
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:37:47Z
dc.date.available2024-08-04T20:37:47Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAlthough the need for increased postoperative analgesia in smokers has been described, the effect of secondhand smoke on postoperative analgesia requirements has not been studied. We examined the effects of secondhand smoke on fentanyl consumption and postoperative pain. In this study, 101 patients (American Society of Anesthesiology physical status I and II) who underwent abdominal hysterectomy were divided into 3 groups according to history of exposure to cigarette smoke as per medical records which was retrospectively confirmed by measurement of serum cotinine: smokers (n = 28), nonsmokers (n = 31), and secondhand smokers (n = 32). All patients received propofol-remifentanil total intravenous anesthesia and used fentanyl patient controlled analgesia for postoperative pain. The fentanyl consumption visual analogue scale-pain intensity (VAS-PI) score and side effects were recorded in the postanesthesia care unit (PACU) and at 2, 4, 6, and 24 h after surgery. Fentanyl consumption at all the evaluation time points was significantly higher in secondhand smokers than in nonsmokers (P < 0.05). However, fentanyl consumption in secondhand smokers was lower than that in smokers in the PACU and at 24 h (P < 0.05). VAS-PI scores during movement and at rest in the PACU and at 4, 6, and 24 h after surgery were higher in secondhand smokers than in nonsmokers (P < 0.05). There were no statistically significant differences between the groups with regard to side effects such as nausea, vomiting, and dizziness (P > 0.05). Secondhand smoking was associated with increased postoperative fentanyl consumption, and increased VAS-PI scores. These findings may be beneficial for managing postoperative pain in secondhand smokers.en_US
dc.identifier.doi10.1007/s00540-013-1565-0
dc.identifier.endpage574en_US
dc.identifier.issn0913-8668
dc.identifier.issue4en_US
dc.identifier.pmid23397133en_US
dc.identifier.scopus2-s2.0-84882666869en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage569en_US
dc.identifier.urihttps://doi.org/10.1007/s00540-013-1565-0
dc.identifier.urihttps://hdl.handle.net/11616/96180
dc.identifier.volume27en_US
dc.identifier.wosWOS:000323248700013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofJournal of Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSecondhand smokeen_US
dc.subjectFentanyl consumptionen_US
dc.subjectPainen_US
dc.subjectPostoperativeen_US
dc.titleThe effects of secondhand smoke on postoperative pain and fentanyl consumptionen_US
dc.typeArticleen_US

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