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ÇOCUKLARDA POSTOPERATİF ANALJEZİDE KAUDAL MORFİN UYGULAMASI

Caudal epidural morphine in chidren for postoperative analgesia

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1998

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aim of this study is to evaluate the postoperative analgesic effectiveness and side effects of caudal bupivacaine, morphine and epinephrine combination in children undergoing urogenital surgery. We stud ied,27 male patients, aged 3-12, undergoing urogenital operations. Anaesthesia was induced with thiopental (4-6 mg/kg; iv ) or halothane. Tracheal entubation was performed with vecuronim bromide (1 mg/kg ). Ma intanence of anaesthesia was performed with halothane ( 0.5-1 %) in N2O-O2 (50-50%). At the end of operation, caudal morphine (60 mgr/kg), bupivaca ine (0.25 %;1 ml/kg ) and epinephrine ( 1:200 000 ) were gi ven via a 22 G needle, at the lateral decubitis position. The data of analgesia time, quality of the analgesia , additional analgesics and side effects during the postoperative 24 hour period were reported. None of the patients needed analgesics in the 15 hour period. After this period only 3 patients were given additional analgesics. Nausea and vomitting were observed in 12 patients ( 44.4 % ).In this study we provided, a long term and qualified analgesia in all patients, but nause and vomiting rate was high .
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Abstract (Original Language): 
Çalışmamızda, Urogenital bölgede cerrahi girişim geçirecek çocuklarda; kaudal bupivakain, morfin, epinefrin kombinasyonunun, postoperatif analjezik etkinliğini ve yan etkilerini değerlendirmeyi amaçladık.Yaşları 3-12 arasında değişen ve Urogenital bölgede operasyon geçirecek 27 erkek olgu ele alındı. Tiopental (4-6 mg/kg; iv ) veya halotan ile anestezi indUksiyonu gerçekleştirildikten sonra, vekronyum (1 mg/kg ) verilerek entUbasyon yapıldı. İdamede, halotan (% 0.5-1 ) ve N20-02 (%50-50 ) kullanıldı. Operasyon bitip, anestezi sonlandırılmadan önce, lateral dekUbitis pozisyonunda, 22 numara iğne ile kaudal mesafeye girilip, morfin (60 mgr/kg), bupivakain ( % 0.25'lik;1 ml/kg ) ve epinefrin (1/ 200 000; 5 mgr/ml) karışımı verildi. Postoperatif 24 saatlik dönemde, analjezi süresi, kalitesi, ek analjezik ihtiyacı ve yan etkiler gözlendi. Olguların hiçbirinde ilk 15 saat analjezik gerekmedi, üç olguda analjezik ihtiyacı oldu. On iki olguda ( %44.4) bulantı-kusma gözlemlendi.Bu dozda, uzun süreli ve etkin analjezi sağladık, ancakbulantı-kusmaoranıyUksekolaraksaptandı.
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  • 2-3
158-161
  • Turkish

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