Author/Authors :
Tuzcu, Kasım Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Gürsoy, Sinan Cumhuriyet Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , İsbir, Ahmet Cemil Harput Devlet Hastanesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Kaygusuz, Kenan Cumhuriyet Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Kol, İclal Özdemir Cumhuriyet Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Düger, Cevdet Cumhuriyet Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Kafalı, Haluk JFK Hastanesi - Anestezi Kliniği, Turkey , Mimaroğlu, Caner Cumhuriyet Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey
Title Of Article :
The effects of postoperative analgesia techniques on gastrointestinal system functions after lower abdominal surgery
Abstract :
Aim. The aim of this study was to compare the effects of postoperative analgesia techniques on gastrointestinal system functions at caesarean section or abdominal hysterectomy under general anesthesia. Method. After the permission of patients and Ethical committee, 75 patients that will undergo cesarian sectio or abdominal hysterectomy under general anesthesia, divided randomly into five groups. Group I patients were given intramuscular meperidine 1 mg/kg/6h postoperatively. Group II patients were given intramuscular meperidine 1 mg/kg/12h combined with 75 mg diclofenac sodium. Group III patients were given intravenous patient controlled analgesia with morphine hydrochlorur 3 mg initial bolus dose and 1 mg maintenance dose with 20 minutes lock out time. Group IV patients were applied epidural 7 mL 0.5% bupivacaine and 2mg morphine then given an infusion of 0.1% bupivacaine and 0.03 mg/mL morphine with rate of 6-8 mL/h. Group V patients were applied epidural 3 mg morphine then given an infusion of 0.05 mg/mL morphine. Postoperative hemodynamic data, sedation and VAS scores, the first bowel movement, time of gas and feces output, time of oral intake, additional analgesic requirements and side effects were recorded. Results. The demographic characteristics and hemodynamic data did not differ between groups (p 0.05). Group IV and V, had the lower VAS scores than the others (p 0.05). Sedation scores were higher at Group III, IV, V than the other groups (p 0.05). Postoperative bowel movements, gas and feces output, oral food intake were seen earliest in Group II and Group IV (p 0.05). Group III, IV and V did not need metamizol postoperatively unlike the others (p 0.05). Conclusion. Finally, it was concluded that epidural bupivacaine - morphine application is more advantageous in postoperative analgesic efficacy and improvement of gastrointestinal functions.
NaturalLanguageKeyword :
Postoperative analgesia , gastrointestinal system functions , caesarean section , hysterectomy
JournalTitle :
Cumhuriyet Medical Journal
