Gelişmiş Arama

Basit öğe kaydını göster

dc.contributor.authorSağır, Özlem
dc.contributor.authorTatar, Betül
dc.contributor.authorUgün, Fatih
dc.contributor.authorDemir, Hafize Fisun
dc.contributor.authorBalkaya, Ayşe Neslihan
dc.contributor.authorMeriç, Gökhan
dc.contributor.authorKocaoğlu, Nazan
dc.contributor.authorKöroğlu, Ahmet
dc.date.accessioned2021-04-21T10:19:22Z
dc.date.available2021-04-21T10:19:22Z
dc.date.issued2020en_US
dc.identifier.issn2687-4784
dc.identifier.issn2687-4792
dc.identifier.urihttps://doi.org/10.5606/ehc.2020.75274
dc.identifier.urihttps://hdl.handle.net/20.500.12462/11464
dc.descriptionSağır, Özlem (Balikesir Author)en_US
dc.description.abstractObjectives: This study aims to evaluate the effect of two different doses of intraarticular ketamine on visual analog scale (VAS) scores at rest and movement, time to first analgesic requirement, and 24-h morphine consumption in patients undergoing arthroscopic meniscectomy as well as to assess the frequency of postoperative nausea&vomiting. respiratory depression. pruritus, urinary retention. and constipation and to compare the time to discharge. Patients and methods: This prospective randomized double-blind study was performed between August 2013 and August 2014 on 75 patients (32 males. 43 females: mean age 46.7 +/- 13 years: range, 18 to 75 years) with American Society of Anesthesiologists scores of I-II scheduled for unilateral meniscectomy. Patients were randomized to receive 0.5 mg.kg(-1) ketamine (group K1). 1 mg.kg(-1) ketamine (group K2) or saline (group S) to a total volume of 20 mL intraarticularly at the end of the surgery. All patients were performed periarticular 10 mL 0.5% bupivacaine infiltration. Visual analog scale at rest and during passive knee movement was used to evaluate pain both preoperatively and at postoperative 0. 30 min. and 1. 2. 4, 6. 12, and 24 h. Time to first analgesic requirement and morphine consumption were recorded. Results: Visual analog scale scores at rest and during movement at postoperative 0 were significantly reduced in group K2 compared with group S (p<0.05). The first analgesic requirement time was significantly longer in group K1 (76.9 +/- 25.2 min) and group K2 (93.4 +/- 26.1 min) than group S (29.3 +/- 7.1 min). Morphine consumption was lower in group K2 compared to group K1 and group S at postoperative 30 min. and 1 and 2 h. However. 24-h morphine consumption was similar in all groups. Conclusion: Intraarticular injection of 0.5 mg.kg(-1) and 1 mg.kg(-1) ketamine for postoperative pain management provided similar analgesic efficacy. However, high dose ketamine more noticeably decreased opioid requirement in the early postoperative period.en_US
dc.language.isoengen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.isversionof10.5606/ehc.2020.75274en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIntraarticular Analgesiaen_US
dc.subjectKetamineen_US
dc.subjectKnee Arthroscopyen_US
dc.subjectPeriarticular Bupivacaineen_US
dc.titleEffects of intraarticular ketamine combined with periarticular bupivacaine on postoperative pain after arthroscopic meniscectomyen_US
dc.typearticleen_US
dc.relation.journalJoint Diseases and Related Surgeryen_US
dc.contributor.departmentTıp Fakültesien_US
dc.contributor.authorID0000-0001-7468-7288en_US
dc.identifier.volume31en_US
dc.identifier.issue2en_US
dc.identifier.startpage589en_US
dc.identifier.endpage596en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


Bu öğenin dosyaları:

Thumbnail

Bu öğe aşağıdaki koleksiyon(lar)da görünmektedir.

Basit öğe kaydını göster