Akademik Veri Yönetim Sistemi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.34, sa.4, ss.228-235, 2006 (Scopus)
Aim: In this study we aimed to compare the efficiency of tramadol, which is used widely in controlling postoperative pain, and lornoxicam, which enters usage newly, by using intravenous patient control anaesthesia method one by one and together. Materials and Methods: Under general anaesthesia, patient in status. ASA I-II, a total of 81 patients (21-60 years old), who planned to be performed lumbar disc surgery surgery were included the study. These patients in recovery unit are divided into four equal groups when they said pain complaint as group 1 (tramadol 10 mg/hour-1), group 2 (lornoxicam 1 mg/hour-1), group 3 (lornoxicam 1.5 mg/hour-1) and group 4 (lornoxicam 1 mg/hour-1 and 20 mg bolus tramadol). Visual analog scale (VAS), 10 cm., was used for efficiency of analgesia and Observer's Assessment of Alertness/Sedation scale (OAA/S) to evaluate the sedation. Measurements were obtained at the beginning of the treatment, at 30 minutes, first, second, third, fourth, eight, 12th, 16th and 24th hour. Result: When group 1 and 4 compared the VAS values were obtained more lower at group 4 like at first 30 minutes 1.90±0.40;1. 60±0.30, at first hour 1.40±0.40; 1.20±0.50, at second hour 1.30±0.40;1.00±0.30 and at third hour 1.30±0.40;1. 00±0.30 (p<0.05). After fourth hour there's no significant difference between VAS values at group 1 and 4 (p>0.05). The VAS values of group 1 and 4 were obtained lower then group 2 and 3 (p<0.05). When VAS values of group 2 and 3 compared there's no significance (p>0.05). Conclusion: As a result, we concluded that, in postoperative analgesia, when we consider the efficiency and side effects, combination of tramadol and lornoxicam can provide maximum quality and patients pleasure.