Stručni rad

MULTI-MODAL ANALGESIA AFTER HYSTERECTOMY AND ADNEXECTOMY

Renata Marohnić ; Odjel za anesteziologiju, reanimaciju, intenzivno liječenje i liječenje boli,Klinika za ženske bolesti i porode KBC-a i Medicinskog Fakulteta Sveučilišta u Zagrebu, Petrova 13, Zagreb
Dunja Anzulović ; Odjel za anesteziologiju, reanimaciju, intenzivno liječenje i liječenje boli,Klinika za ženske bolesti i porode KBC-a i Medicinskog Fakulteta Sveučilišta u Zagrebu, Petrova 13, Zagreb
Sandra Fudurić ; Odjel za anesteziologiju, reanimaciju, intenzivno liječenje i liječenje boli,Klinika za ženske bolesti i porode KBC-a i Medicinskog Fakulteta Sveučilišta u Zagrebu, Petrova 13, Zagreb
Slobodan Mihaljević ; Odjel za anesteziologiju, reanimaciju, intenzivno liječenje i liječenje boli,Klinika za ženske bolesti i porode KBC-a i Medicinskog Fakulteta Sveučilišta u Zagrebu, Petrova 13, Zagreb
Jozo Blajić ; Odjel za anesteziologiju, reanimaciju, intenzivno liječenje i liječenje boli,Klinika za ženske bolesti i porode KBC-a i Medicinskog Fakulteta Sveučilišta u Zagrebu, Petrova 13, Zagreb
Ljiljana Mihaljević ; Odjel za anesteziologiju, reanimaciju, intenzivno liječenje i liječenje boli,Klinika za ženske bolesti i porode KBC-a i Medicinskog Fakulteta Sveučilišta u Zagrebu, Petrova 13, Zagreb

Sažetak

Postoperative pain is the most common form of an acute pain and inadequate analgesia can lead to numerous complications. Our goal was to compare two different methods of analgesia by multimodal approach and to optimize pain control in both groups. During the first operative day, 50 randomly chosen patients undergoing abdominal hysterectomy with bilateral adnexectomy were analyzed. According to the American Society of Anesthesiologists (ASA) they were classified to Class I-III. In the first group of 25 patients, metamizol and tramadol were administered in continuous intravenous infusion and in the second group of 25 patients ketoprofen and tramadol were administered. Pain was registered during the first, third, sixth and ninth postoperative hour using visual analogue scale (VAS). In both groups the adequate level of analgesia was achieved, although the patients in the second group have reached moderate level of pain earlier than the second group did. Therefore, as the non-steriod antiiflammatory drug adjuvant to opioid drug we prefer ketoprofen to metamizole.

Ključne riječi

postoperative pain; multimodal analgesia; VAS

Hrčak ID:

69976

URI

https://hrcak.srce.hr/69976

Datum izdavanja:

1.3.2011.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.532 *