Comparison of Postoperative Effects of Phentanyl with Combination of Phentanyl and `Levobupivacaine in Children with Thoracotomy

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Aim: We aimed to compare the postoperative analgesic efficacy, hemodynamic and side effects of epidural phentanyl and phentanyl-levobupivacaine administration in children undergoing torocotomy. Material and Method: 31 children with American Society of Anesthesiologists (ASA) I-III group and age between 5-12 years who were applied thoracic epidural with the purpose of postoperative analgesia after elective thoracic surgery in Karadeniz Technical University Faculty of Medicine, Clinics of Paediatric Surgery were examined retrospectively. Information was obtained from patients’ files, anaesthesia and postoperative patient controlled analgesia (PCA) recording form. Patients were separated into two groups according to analgesic agents used as phentanyl (F) and phentanyl+Levobupivacain (FL). It was found that 0,5 (μg/kg/h) phentanyl infusion was used for all patients in Group F. It was also found that, μg/kg/h phentanyl + 0,15 mg/kg/h levobupivacaine were used for all patients in Group FL. Visual analogue scale (VAS), systolic artery pressure (SAP), diastolic artery pressure (DAP), heart rate (HR), respiratory rate (RR), and side effects were recorded in 0., 4., 12., 24., 36. hours of thoracic epidural PCA application (T1,T2,T3,T4, T5 respectively). Results: There were no significant difference in age, sex, height, weight and ASA status between the groups. There were also no difeference in hemodynamic parameters (SAP, DAP, HR and RR), VAS score and side effects between the groups. Conclusion: We conclude that postoperative epidural phentanyl infusion provides equipotent analgesia to administration of phentanyl and levobupivacaine combination following thoracotomy in children.

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child , epidural analgesia , phentanyl , levobupivacaine

Kocatepe Medical Journal

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Kocatepe Medical Journal