The effects of secondhand smoke on postoperative pain and fentanyl consumption

dc.authorid113863en_US
dc.authorid116272en_US
dc.authorid105949en_US
dc.authorid9837en_US
dc.authorid9712en_US
dc.contributor.authorAydoğan, Mustafa Said
dc.contributor.authorÖztürk, Erdoğan
dc.contributor.authorErdoğan, Mehmet Ali
dc.contributor.authorYücel, Aytaç
dc.contributor.authorDurmuş, Mahmut
dc.contributor.authorErsoy, Mehmet Özcan
dc.contributor.authorÇolak, Cemil
dc.date.accessioned2017-12-25T07:31:47Z
dc.date.available2017-12-25T07:31:47Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.descriptionJ Anesth (2013) 27:569–574.en_US
dc.description.abstractBackground Although 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. Methods 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. Results 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). Conclusion 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.citationAydoğan, M. S., Öztürk, E., Erdoğan, M. A., Yücel, A., Durmuş, M., Ersoy, M. Ö., & Çolak, C. (2013). The Effects Of Secondhand Smoke On Postoperative Pain And Fentanyl Consumption. Journal Of Anesthesia, 27(4), 569–574.en_US
dc.identifier.doi10.1007/s00540-013-1565-0en_US
dc.identifier.endpage574en_US
dc.identifier.issue4en_US
dc.identifier.startpage569en_US
dc.identifier.urihttps://link.springer.com/content/pdf/10.1007%2Fs00540-013-1565-0.pdf
dc.identifier.urihttps://hdl.handle.net/11616/7927
dc.identifier.volume27en_US
dc.language.isoenen_US
dc.publisherJournal of Anesthesiaen_US
dc.relation.ispartofJournal of Anesthesiaen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_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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