ISSN : 1300-0012   E-ISSN 2458-9446 Home      |      Contact      |      TR
 
 
Volume: 32  Issue: 3  Year: 2020
 

Attention: These articles have been accepted for publication; however, this list does not indicate the order in which articles will be published. As new articles are accepted, the order displayed here will change.

Beneficial effects of single dose multimodal epidural analgesia on relief of postoperative microdiscectomy pain [Ağrı]
Ağrı. 2004; 16(4): 54-58

Beneficial effects of single dose multimodal epidural analgesia on relief of postoperative microdiscectomy pain

Alper Kararmaz, Sedat Kaya, Haktan Karaman, Selim Turhanoğlu, Ali Özyılmaz
Dicle University Faculty Of Medicine, Department Of Anesthesiology, Turkey

We aimed to assess the efficacy of multimodal epidural analgesia in decreasing postoperative pain after microdiscectomy. Fourty patients, ASA physical status I or II, undergoing microsurgical lumbar discectomy were enrolled in this prospective, randomised, controlled, double-blinded study. 10 ml study solution consisting of 2 mg of morphine, 15 mg of bupivacaine, 80 mg of methylprednisolone, and 0.05 mg of adrenaline was prepared for epidural administration. At the end of the procedure but prior to wound closure, the surgeon inserted an 18-gauge epidural catheter into the epidural space. After closure of incision, patients were assigned to receive either study solution (Group E) or saline (Group C). The epidural catheter was then removed. Patient controlled analgesia with morphine was used for postoperative analgesia. Visual Anologue Scale (VAS) pain scores and morphine consumptions were lower in Group E. Time to first ambulation was shorter in Group E. Patients in Group E were more satisfied with their analgesic regimen. Single dose multimodal epidural analgesia administered after wound closure provided better postoperative analgesia after lumbar microdiscectomy.



Multimodal epidural analjezinin lomber diskektomi sonrası ağrıda etkinliği

Alper Kararmaz, Sedat Kaya, Haktan Karaman, Selim Turhanoğlu, Ali Özyılmaz
Dicle University Faculty Of Medicine, Department Of Anesthesiology, Turkey



Alper Kararmaz, Sedat Kaya, Haktan Karaman, Selim Turhanoğlu, Ali Özyılmaz. Beneficial effects of single dose multimodal epidural analgesia on relief of postoperative microdiscectomy pain. Ağrı. 2004; 16(4): 54-58

Corresponding Author: Alper Kararmaz


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