지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 1,436 - 1,441 (6page)
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초록· 키워드
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Purpose: Optimal analgesia in ambulatory urology patients still remains a challenge. The aim of this study was to examine if the pre-emptive use of intravenous tramadol can reduce pain after ureteroscopic lithotripsy in patients diagnosed with unilateral ureteral stones. Materials and Methods: This prospective pilot cohort study included 74 patients diagnosed with unilateral ureteral stones who underwentureteroscopic lithotripsy under general anesthesia in the Urology Clinic at the Clinical Center of Serbia from March to June 2012. All patients were randomly allocatedto two groups: one group (38 patients) received intravenous infusion of tramadol 100 mg in 500 mL 0.9%NaCl one hour before the procedure, while the other group (36 patients) received 500 mL 0.9%NaCl at the same time. Visual analoguescale (VAS) scores were recorded once prior to surgery and two times after the surgery (1 h and 6 h, respectively). The patients were prescribed additional postoperative analgesia (diclofenac 75 mg i.m.) when required. Pre-emptive effectsof tramadol were assessed measuring pain scores, VAS1 and VAS2, intraoperativefentanyl consumption, and postoperative analgesic requirement. Results: The average VAS1 score in the tramadol group was significantly lower than that in the non-tramadol group. The difference in average VAS2 score values between the two groups was not statistically significant; however, there were more patients who experienced severe pain in the non-tramadol group (p<0.01). The number of patients that required postoperative analgesia was not statistically different betweenthe groups. Conclusion: Pre-emptive tramadol did reduce early postoperativepain. The patients who received pre-emptive tramadol were less likely to experiencesevere post-operative pain.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Aida S / 1999 / The effectiveness of preemptive analgesia varies according to the type of surgery: a randomized, double-blind study / Anesth Analg 89 : 711 ~ 716
Amata A / 2010 / Guide to Pain Management in Low-Resource Settings / IASP : 119 ~ 121
Carrion Lopez P / 2008 / Ambulatory surgery in a urology department. Analysis of the period 2003-2006 / Arch Esp Urol 61 : 365 ~ 370
Dahl JB / 2004 / Pre-emptive analgesia / Br Med Bull 71 : 13 ~ 27
Fodale V / 2006 / Effect of tramadol on Bispectral Index during intravenous anaesthesia with propofol and remifentanil / Anaesth Intensive Care 34 : 36 ~ 39
Amata A / 2010 / Guide to Pain Management in Low-Resource Settings / IASP : 119 ~ 121
Carrion Lopez P / 2008 / Ambulatory surgery in a urology department. Analysis of the period 2003-2006 / Arch Esp Urol 61 : 365 ~ 370
Dahl JB / 2004 / Pre-emptive analgesia / Br Med Bull 71 : 13 ~ 27
Fodale V / 2006 / Effect of tramadol on Bispectral Index during intravenous anaesthesia with propofol and remifentanil / Anaesth Intensive Care 34 : 36 ~ 39
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