tailieunhanh - Báo cáo y học: "Postoperative pain scores and analgesic requirements after thyroid surgery: Comparison of three intraoperative opioid regimens"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Postoperative pain scores and analgesic requirements after thyroid surgery: Comparison of three intraoperative opioid regimens. | Int. J. Med. Sci. 2006 3 11 Research paper International Journal of Medical Sciences ISSN 1449-1907 2006 3 1 11-13 2006 Ivyspring International Publisher. All rights reserved Postoperative pain scores and analgesic requirements after thyroid surgery Comparison of three intraoperative opioid regimens C. Motamed . Merle L. Yakhou X. Combes J. Vodinh C. Kouyoumoudjian P. Duvaldestin Service d Anesthesie Réanimation Hospital Henri Mondor Créteil APHP Université Paris 12 FRANCE Corresponding address Dr Cyrus Motamed Service d Anesthesie Institut Gustave Roussy Rue Camille Desmoulins. Villejuif France. Email motamed@ Received Accepted Published Purpose This study was designed tocompare the effect on postoperative pain opioid consumption and the length of stay in postoperative care unit PACU after three different intraoperative analgesic regimens in thyroid surgery. Methods Seventy five patients were enrolled into the study and assigned to one of three groups fentanyl sufentanil or remifentanil n 25 for each group . Before the end of surgery paracetamol 1 gr and nefopam 20 mg was also administered in all patients. Pain scores opioid demand and the length of stay in PACU were assessed in a blind manner. Results Post operative pain scores were significantly lower in the fentanyl and sufentanil groups compared to remifentanil group 55 15 and 60 10 versus 78 12 P . Patients in the remifentanil group stayed longer in the PACU 108 37 min versus 78 31 and 73 25 min P . Conclusion After remifentanil based analgesia anticipation of postoperative pain with opioid analgesic appears mandatory even for surgery rated as being moderately painful otherwise longer opioid titration due to higher pain scores might delay discharge time. Key words postoperative analgesia morphine titration thyroid surgery 1. INTRODUCTION Post operative pain after thyroid surgery might be important especially in the early postoperative hours. .

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